Physiological effects and subjective tolerability of prone positioning in COVID-19 and healthy hypoxic challenge.


Journal

ERJ open research
ISSN: 2312-0541
Titre abrégé: ERJ Open Res
Pays: England
ID NLM: 101671641

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 25 08 2021
accepted: 26 10 2021
entrez: 9 2 2022
pubmed: 10 2 2022
medline: 10 2 2022
Statut: epublish

Résumé

Prone positioning has a beneficial role in coronavirus disease 2019 (COVID-19) patients receiving ventilation but lacks evidence in awake non-ventilated patients, with most studies being retrospective, lacking control populations and information on subjective tolerability. We conducted a prospective, single-centre study of prone positioning in awake non-ventilated patients with COVID-19 and non-COVID-19 pneumonia. The primary outcome was change in peripheral oxygenation in prone 238 hospitalised patients with pneumonia were screened; 55 were eligible with 25 COVID-19 patients and three non-COVID-19 patients agreeing to undergo proning - the latter insufficient for further analysis. 10 healthy control volunteers underwent hypoxic challenge. Patients with COVID-19 had a median age of 64 years (interquartile range 53-75). Proning led to an increase in oxygen saturation measured by pulse oximetry ( Identification of suitable patients with COVID-19 requiring oxygen supplementation from general ward environments for awake proning is challenging. Prone positioning leads to a small increase in

Sections du résumé

BACKGROUND BACKGROUND
Prone positioning has a beneficial role in coronavirus disease 2019 (COVID-19) patients receiving ventilation but lacks evidence in awake non-ventilated patients, with most studies being retrospective, lacking control populations and information on subjective tolerability.
METHODS METHODS
We conducted a prospective, single-centre study of prone positioning in awake non-ventilated patients with COVID-19 and non-COVID-19 pneumonia. The primary outcome was change in peripheral oxygenation in prone
RESULTS RESULTS
238 hospitalised patients with pneumonia were screened; 55 were eligible with 25 COVID-19 patients and three non-COVID-19 patients agreeing to undergo proning - the latter insufficient for further analysis. 10 healthy control volunteers underwent hypoxic challenge. Patients with COVID-19 had a median age of 64 years (interquartile range 53-75). Proning led to an increase in oxygen saturation measured by pulse oximetry (
CONCLUSION CONCLUSIONS
Identification of suitable patients with COVID-19 requiring oxygen supplementation from general ward environments for awake proning is challenging. Prone positioning leads to a small increase in

Identifiants

pubmed: 35136823
doi: 10.1183/23120541.00524-2021
pii: 00524-2021
pmc: PMC8591389
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright ©The authors 2022.

Déclaration de conflit d'intérêts

Conflict of interest: None declared.

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Auteurs

Akhilesh Jha (A)

Dept of Medicine, University of Cambridge, Cambridge, UK.
Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
These authors contributed equally.

Fangyue Chen (F)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
These authors contributed equally.

Sam Mann (S)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Ravi Shah (R)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Randa Abu-Youssef (R)

Dept of Medicine, University of Cambridge, Cambridge, UK.

Holly Pavey (H)

Dept of Medicine, University of Cambridge, Cambridge, UK.

Helen Lin-Jia-Qi (H)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Josh Cara (J)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Daniel Cunningham (D)

Dept of Anaesthesia and Critical Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Kate Fitzpatrick (K)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Celine Goh (C)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Renee Ma (R)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Souradip Mookerjee (S)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Vaitehi Nageshwaran (V)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Timothy Old (T)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Catherine Oxley (C)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Louise Jordon (L)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Mayurun Selvan (M)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Anna Wood (A)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Andrew Ying (A)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Chen Zhang (C)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Dariusz Wozniak (D)

Respiratory Support and Sleep Centre, Royal Papworth Hospital, Cambridge, UK.

Iain Goodhart (I)

Dept of Anaesthesia and Critical Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Frances Early (F)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Marie Fisk (M)

Dept of Medicine, University of Cambridge, Cambridge, UK.
Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Jonathan Fuld (J)

Dept of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Classifications MeSH