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There have recently been several reports in the news [1-3] that placing ventilated COVID-19 patients in the prone position about 16 hours per day helps significantly to increase the oxygen saturation of the lungs. The explanation seems to be that sections of the lungs are being squeezed by the weight of the body when p
There have recently been several reports in the news [1-3] that placing ventilated COVID-19 patients in the prone position about 16 hours per day helps significantly to increase the oxygen saturation of the lungs. The explanation seems to be that sections of the lungs are being squeezed by the weight of the body when patients are on their back. Turning them on their bellies opens up these parts of the lungs for better oxygenation.
The idea of using the prone position in COVID-19 patients can be related to numerous studies [4-8] proving the benefits for patients with chronic obstructive pulmonary disease (COPD), and acute respiratory distress syndrome (ARDS), - conditions with similarities to the decreased lung function in COVID-19 patients.
However, there are disadvantages to having patients in the prone position: There could be increased risk of air-born contamination when turning ventilated COVID-19 patients in the prone position, and they require more sedation which may prolong the ICU stay. Non-ventilated and non-sedated COVID-19 patients may find it uncomfortable to be on their stomachs for 16 hours so they don’t achieve a significant increase in oxygenation.
Diagnostic value of abdominal sonography in confirmed COVID-19 intensive care patients, Egyptian Journal of Radiology and Nuclear Medicine
COVID-19 communication resources for community health and safety
American Society for Parenteral and Enteral Nutrition - ASPEN - Clinicians caring for #COVID19 patients: download our fact sheet on how to enterally feed the prone patient with COVID-19: More free
COVID-19 vs. Hantavirus Pulmonary Syndrome, Hantavirus, DHCPP
Rarely used procedure promising tool for patients with abdominal cancer - University of Mississippi Medical Center
Cough and Chest Congestion as a Sign of COVID-19
Abdominal Support to Help Recover After Weight Loss Surgery
Is Prone Positioning the Best Choice for ARDS Patients?
MNT for Critically Ill COVID-19 Patients - Today's Dietitian Magazine
COVID-19 support and essential services