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Prone Positioning in Non-Intubated Patients With COVID-19 Outside of the Intensive Care Unit: More Evidence Needed

Alba Ripoll-Gallardo, Luca Grillenzoni, Jordy Bollon, Françesco Della Corte, Francesco Barone‐Adesi

2020Disaster Medicine and Public Health Preparedness21 citationsDOIOpen Access PDF

Abstract

The coronavirus disease (COVID-19) pandemic has brought the Italian National Health System to its knees. The abnormally high influx of patients, together with the limited resources available, has forced clinicians to make unprecedented decisions and provide compassionate treatments for which little or no evidence is yet available. This is the case for the use of noninvasive positive pressure ventilation and continuous airway pressure ventilation, combined with prone position in patients with COVID-19 and acute respiratory distress syndrome treated outside of intensive care units. In our article, we comment on the evidence available, so far, and provide a brief summary of data collected at our health institution in Piedmont, Italy.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)Prone positionPandemicMedicineIntensive care unitIntensive care medicineMechanical ventilationSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Continuous positive airway pressure2019-20 coronavirus outbreakIntensive careRespiratory distressVentilation (architecture)Acute respiratory distressAirwayHealth carePositive airway pressureDiseaseAnesthesiaVirologyInfectious disease (medical specialty)LungInternal medicineMechanical engineeringEngineeringEconomicsObstructive sleep apneaEconomic growthOutbreakRespiratory Support and MechanismsAirway Management and Intubation TechniquesPneumothorax, Barotrauma, Emphysema
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