by Andrea Carsetti, Agnese Damia Paciarini, Benedetto
Marini, Simona Pantanetti, Erica Adrario and Abele Donati
Recently, novel coronavirus 2019 (nCOV-19) is spreading all
around the world causing severe acute respiratory syndrome (SARS-CoV-2)
requiring mechanical ventilation in about 5% of infected people [1, 2]. Prone position ventilation is an
established method to improve oxygenation in severe acute respiratory distress
syndrome (ARDS), and its application was able to reduce mortality rate [3]. Although the severity of critically ill
patients with SARS-CoV-2 may require pronation [4], the huge number of patients requiring
intensive care unit (ICU) admission may create management problems due to the
limited number of healthcare workers compared to the number of patients. Often,
sustained oxygenation improvement can only be achieved after several cycles of
pronation, with a work overload for healthcare staff. To face these problems,
we implemented a pronation protocol that allows to extend the time for the
prone position beyond 16 h, aiming to reduce the number of pronation cycles per
patient. Thus, the aim of this report was to assess the feasibility and
efficacy of prone position ventilation beyond the usual 16 h...
No comments:
Post a Comment