RT Journal Article
SR Electronic
T1 Prone Positioning for Patients With COVID-19–Induced Acute Hypoxemic Respiratory Failure: Flipping the Script
JF Respiratory Care
FD American Association for Respiratory Care
SP 1449
OP 1464
DO 10.4187/respcare.11227
VO 68
IS 10
A1 Li, Jie
A1 Ibarra-Estrada, Miguel
A1 Guérin, Claude
YR 2023
UL http://rc.rcjournal.com/content/68/10/1449.abstract
AB During the COVID-19 pandemic, prone positioning (PP) emerged as a widely used supportive therapy for patients with acute hypoxemic respiratory failure caused by COVID-19 infection. In particular, awake PP (APP)—the placement of non-intubated patients in the prone position—has gained popularity and hence is detailed first herein. This review discusses recent publications on the use of PP for non-intubated and intubated subjects with COVID-19, highlighting the physiological responses, clinical outcomes, influential factors affecting treatment success, and strategies to improve adherence with APP. The use of prolonged PP and the use of PP for patients undergoing extracorporeal membrane oxygenation are also presented.