Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.
Identifieur interne : 000849 ( Main/Corpus ); précédent : 000848; suivant : 000850Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.
Auteurs : Davide Bastoni ; Erika Poggiali ; Andrea Vercelli ; Elena Demichele ; Valentina Tinelli ; Teresa Iannicelli ; Andrea MagnacavalloSource :
- Emergency medicine journal : EMJ [ 1472-0213 ] ; 2020.
English descriptors
- KwdEn :
- Aged (MeSH), Betacoronavirus (isolation & purification), Continuous Positive Airway Pressure (methods), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Coronavirus Infections (physiopathology), Coronavirus Infections (therapy), Emergency Service, Hospital (statistics & numerical data), Female (MeSH), Humans (MeSH), Italy (epidemiology), Male (MeSH), Noninvasive Ventilation (methods), Oxygen Consumption (MeSH), Oxygen Inhalation Therapy (methods), Pandemics (MeSH), Patient Positioning (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Pneumonia, Viral (etiology), Pneumonia, Viral (physiopathology), Pneumonia, Viral (therapy), Prone Position (MeSH), Respiratory Insufficiency (etiology), Respiratory Insufficiency (physiopathology), Respiratory Insufficiency (therapy), Treatment Outcome (MeSH).
- MESH :
- geographic , epidemiology : Italy.
- complications : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- etiology : Pneumonia, Viral, Respiratory Insufficiency.
- isolation & purification : Betacoronavirus.
- methods : Continuous Positive Airway Pressure, Noninvasive Ventilation, Oxygen Inhalation Therapy.
- physiopathology : Coronavirus Infections, Pneumonia, Viral, Respiratory Insufficiency.
- statistics & numerical data : Emergency Service, Hospital.
- therapy : Coronavirus Infections, Pneumonia, Viral, Respiratory Insufficiency.
- Aged, Female, Humans, Male, Oxygen Consumption, Pandemics, Patient Positioning, Prone Position, Treatment Outcome.
Abstract
We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO2 value and PaO2/FiO2 ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.
DOI: 10.1136/emermed-2020-209744
PubMed: 32748797
PubMed Central: PMC7497566
Links to Exploration step
pubmed:32748797Le document en format XML
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<author><name sortKey="Poggiali, Erika" sort="Poggiali, Erika" uniqKey="Poggiali E" first="Erika" last="Poggiali">Erika Poggiali</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>Continuous Positive Airway Pressure (methods)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (physiopathology)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Emergency Service, Hospital (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Italy (epidemiology)</term>
<term>Male (MeSH)</term>
<term>Noninvasive Ventilation (methods)</term>
<term>Oxygen Consumption (MeSH)</term>
<term>Oxygen Inhalation Therapy (methods)</term>
<term>Pandemics (MeSH)</term>
<term>Patient Positioning (MeSH)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (etiology)</term>
<term>Pneumonia, Viral (physiopathology)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Prone Position (MeSH)</term>
<term>Respiratory Insufficiency (etiology)</term>
<term>Respiratory Insufficiency (physiopathology)</term>
<term>Respiratory Insufficiency (therapy)</term>
<term>Treatment Outcome (MeSH)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term>
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<term>Noninvasive Ventilation</term>
<term>Oxygen Inhalation Therapy</term>
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<term>Pneumonia, Viral</term>
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<term>Oxygen Consumption</term>
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<front><div type="abstract" xml:lang="en">We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO<sub>2</sub>
value and PaO<sub>2</sub>
/FiO<sub>2</sub>
ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.</div>
</front>
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<Title>Emergency medicine journal : EMJ</Title>
<ISOAbbreviation>Emerg Med J</ISOAbbreviation>
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<ArticleTitle>Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.</ArticleTitle>
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<Abstract><AbstractText>We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO<sub>2</sub>
value and PaO<sub>2</sub>
/FiO<sub>2</sub>
ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.</AbstractText>
<CopyrightInformation>© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation>
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<CoiStatement>Competing interests: None declared.</CoiStatement>
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