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Early conscious prone positioning in patients with COVID-19 receiving continuous positive airway pressure: A retrospective analysis

Winearls, Stuart; Swingwood, Ema L.; Hardaker, Charlotte L.; Smith, Amy M.; Easton, Fraser M.; Millington, Katherine J.; Hall, Rebecca S.; Smith, Ann; Curtis, Katrina J.

Early conscious prone positioning in patients with COVID-19 receiving continuous positive airway pressure: A retrospective analysis Thumbnail


Authors

Stuart Winearls

Ema L. Swingwood

Charlotte L. Hardaker

Amy M. Smith

Fraser M. Easton

Katherine J. Millington

Rebecca S. Hall

Ann Smith

Katrina J. Curtis



Abstract

The global pandemic of COVID-19 has challenged the management of hypoxaemic respiratory failure and strained intensive care unit resources. While prone positioning (PP) is an established therapy in mechanically ventilated patients with acute respiratory distress syndrome (ARDS), its role in conscious patients is less well defined. We retrospectively reviewed our experience of implementing early PP in a cohort of 24 patients with acute hypoxaemic respiratory failure due to COVID-19 who required support with continuous positive airway pressure (CPAP). The use of PP alongside CPAP significantly increased both the ROX index and arterial oxygen pressure:fractional inspired oxygen (PaO 2:FiO 2) ratio from baseline values (ROX index: 7.0±2.5 baseline vs 11.4±3.7 CPAP+PP, p

Citation

Winearls, S., Swingwood, E. L., Hardaker, C. L., Smith, A. M., Easton, F. M., Millington, K. J., …Curtis, K. J. (2020). Early conscious prone positioning in patients with COVID-19 receiving continuous positive airway pressure: A retrospective analysis. BMJ Open Respiratory Research, 7(1), e000711. https://doi.org/10.1136/bmjresp-2020-000711

Journal Article Type Article
Acceptance Date Aug 20, 2020
Online Publication Date Sep 6, 2020
Publication Date Sep 6, 2020
Deposit Date Sep 30, 2020
Publicly Available Date Oct 7, 2020
Journal BMJ Open Respiratory Research
Electronic ISSN 2052-4439
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 7
Issue 1
Pages e000711
DOI https://doi.org/10.1136/bmjresp-2020-000711
Public URL https://uwe-repository.worktribe.com/output/6666820

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