Prone positioning to improve oxygenation and relieve respiratory symptoms in awake, spontaneously breathing non-intubated patients with COVID-19 pneumonia

Respiratory Medicine Case Reports

Jean Henri Maselli-Schoueri¹  Jaques Sztajnbok²  Ceila Maria Sant' Ana Malaque³  Lucilene Farias de Sousa³  Camila Muniz Cordeiro³  Luciana Marques Sansão Borges³  Lucas Mendes Cunha de Resende Brasil³ 

[1] Intensive Care Unit, Emílio Ribas Institute of Infectious Diseases, São Paulo, Brazil;Corresponding author. Instituto de Infectologia Emílio Ribas, Avenida Dr. Arnaldo, 165, Cerqueira César, 01246-900, São Paulo, Brazil.;Intensive Care Unit, Emílio Ribas Institute of Infectious Diseases, São Paulo, Brazil;

关键词: Acute respiratory distress syndrome;    Prone positioning;    Noninvasive ventilation;    Coronavirus;    COVID-19;    Pulmonary ventilation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Emergency departments are facing an unprecedented challenge in dealing with patients who have coronavirus disease 2019 (COVID-19). The massive number of cases evolving to respiratory failure are leading to a rapid depletion of medical resources such as respiratory support equipment, which is more critical in low- and middle-income countries. In this context, any therapeutic and oxygenation support strategy that conserves medical resources should be welcomed. Prone positioning is a well-known ventilatory support strategy to improve oxygenation levels. Self-proning can be used in the management of selected patients with COVID-19 pneumonia. Here, we describe our experience with two COVID-19-positive patients who were admitted with respiratory failure. The patients were successfully managed with self-proning and noninvasive oxygenation without the need for intubation.

【 授权许可】

Unknown