Search Tag: Prone positioning
Prone Positioning for Acute Hypoxaemic Respiratory Failure
2023 15 Feb
Prone positioning is a medical intervention that was initially proposed over 50 years ago as a way to improve gas exchange. Multiple clinical trials have been conducted on its effectiveness, with the Proning Severe ARDS Patients landmark trial demonstrating a mortality benefit in patients with severe ARDS. As a result, expert consensus and societal... Read more
Extended Prone Positioning for COVID-19 ARDS
2022 12 Jul
COVID-19 has resulted in an estimated 270,000 hospitalisations in ICUs in Europe between May 2020 and March 2022. Nearly 80% of these patients have required tracheal intubation and invasive mechanical ventilation. While there is still an ongoing debate whether acute respiratory distress syndrome (ARDS) physiopathology is the same in COVID-19 and non-COVID-19... Read more
Prone Positioning in Patients Receiving vvECMO for ARDS
2022 25 Jan
Several studies have supported the efficacy of venovenous extracorporeal membrane oxygenation (vvECMO) to improve survival in severe acute respiratory distress syndrome (ARDS). ARDS is one of the primary causes of admission to the ICU. The use of an effective approach to support respiratory function in patients with severe respiratory failure is thus... Read more
Prone Positioning During ECMO for ARDS
2021 17 Aug
There is sufficient evidence to show that prone positioning improves oxygenation and respiratory mechanics and is also associated with lower mortality in patients with moderate to severe ARDS. However, some patients can develop refractory hypoxaemia and hypercapnia that could require the use of venovenous extracorporeal membrane oxygenation (VV-ECMO)... Read more
Intubation Timing and COVID-19 ARDS Outcomes
2021 29 Jun
COVID-19 associated ARDS is associated with high mortality risk. Many patients with COVID-19 have been admitted with pneumonia and arterial hypoxaemia, increased work of breathing or impending fatigue. It is a common clinical practice to intubate patients with severe hypoxaemia. However, during the pandemic, there was a high demand for ICU beds. Therefore,... Read more
Prone Positioning and Survival in Mechanically Ventilated COVID-19 Patients
2021 22 Jun
Coronavirus disease is still fairly new for clinicians who are constantly searching for therapies for patients with respiratory failure from COVID-19. Early implementation of prone positioning ventilation has been shown to improve survival in patients with ARDS. However, data on the effect of probing on survival in patients with COVID-19 is still scarce.... Read more
20 Lessons from 2020
2021 22 Feb
The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected patients need hospitalisation and admission to the ICU. A high percentage of severely ill patients with... Read more
Prone Positioning in Non-Intubated COVID-19 Patients
2020 25 Jun
The COVID-19 pandemic has placed unprecedented stress on health care institutions everywhere. Among other interventions, researchers and physicians have been trying to reevaluate the use of mechanical ventilation. The rise of social media has accelerated the spread of biased information about therapies that have not been peer-reviewed and have little... Read more