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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Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Demichele, Elena" sort="Demichele, Elena" uniqKey="Demichele E" first="Elena" last="Demichele">Elena Demichele</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Tinelli, Valentina" sort="Tinelli, Valentina" uniqKey="Tinelli V" first="Valentina" last="Tinelli">Valentina Tinelli</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Iannicelli, Teresa" sort="Iannicelli, Teresa" uniqKey="Iannicelli T" first="Teresa" last="Iannicelli">Teresa Iannicelli</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Magnacavallo, Andrea" sort="Magnacavallo, Andrea" uniqKey="Magnacavallo A" first="Andrea" last="Magnacavallo">Andrea Magnacavallo</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32748797</idno><idno type="pmid">32748797</idno><idno type="doi">10.1136/emermed-2020-209744</idno><idno type="pmc">PMC7497566</idno><idno type="wicri:Area/Main/Corpus">000849</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000849</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.</title><author><name sortKey="Bastoni, Davide" sort="Bastoni, Davide" uniqKey="Bastoni D" first="Davide" last="Bastoni">Davide Bastoni</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy dbastonidoc@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Poggiali, Erika" sort="Poggiali, Erika" uniqKey="Poggiali E" first="Erika" last="Poggiali">Erika Poggiali</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vercelli, Andrea" sort="Vercelli, Andrea" uniqKey="Vercelli A" first="Andrea" last="Vercelli">Andrea Vercelli</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Demichele, Elena" sort="Demichele, Elena" uniqKey="Demichele E" first="Elena" last="Demichele">Elena Demichele</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Tinelli, Valentina" sort="Tinelli, Valentina" uniqKey="Tinelli V" first="Valentina" last="Tinelli">Valentina Tinelli</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Iannicelli, Teresa" sort="Iannicelli, Teresa" uniqKey="Iannicelli T" first="Teresa" last="Iannicelli">Teresa Iannicelli</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Magnacavallo, Andrea" sort="Magnacavallo, Andrea" uniqKey="Magnacavallo A" first="Andrea" last="Magnacavallo">Andrea Magnacavallo</name><affiliation><nlm:affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Emergency medicine journal : EMJ</title><idno type="eISSN">1472-0213</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><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></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Pneumonia, Viral</term><term>Respiratory Insufficiency</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Betacoronavirus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Continuous Positive Airway Pressure</term><term>Noninvasive Ventilation</term><term>Oxygen Inhalation Therapy</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Respiratory Insufficiency</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term><term>Respiratory Insufficiency</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Oxygen Consumption</term><term>Pandemics</term><term>Patient Positioning</term><term>Prone Position</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><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></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32748797</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1472-0213</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Emergency medicine journal : EMJ</Title><ISOAbbreviation>Emerg Med J</ISOAbbreviation></Journal><ArticleTitle>Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.</ArticleTitle><Pagination><MedlinePgn>565-566</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/emermed-2020-209744</ELocationID><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></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bastoni</LastName><ForeName>Davide</ForeName><Initials>D</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-7817-3014</Identifier><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy dbastonidoc@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Poggiali</LastName><ForeName>Erika</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vercelli</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Demichele</LastName><ForeName>Elena</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tinelli</LastName><ForeName>Valentina</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Iannicelli</LastName><ForeName>Teresa</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Magnacavallo</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>06</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Emerg Med J</MedlineTA><NlmUniqueID>100963089</NlmUniqueID><ISSNLinking>1472-0205</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D045422" MajorTopicYN="N">Continuous Positive Airway Pressure</DescriptorName><QualifierName UI="Q000379" 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MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063087" MajorTopicYN="N">Noninvasive Ventilation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010101" MajorTopicYN="N">Oxygen Consumption</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010102" MajorTopicYN="N">Oxygen Inhalation Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="N">Patient Positioning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012131" MajorTopicYN="Y">Respiratory Insufficiency</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">SARS</Keyword><Keyword MajorTopicYN="N">acute care</Keyword><Keyword MajorTopicYN="N">infectious diseases</Keyword><Keyword MajorTopicYN="N">non invasive</Keyword><Keyword MajorTopicYN="N">pneumonia/infections</Keyword><Keyword MajorTopicYN="N">respiratory</Keyword><Keyword MajorTopicYN="N">ventilation</Keyword><Keyword MajorTopicYN="N">viral</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>04</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>05</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32748797</ArticleId><ArticleId IdType="pii">emermed-2020-209744</ArticleId><ArticleId IdType="doi">10.1136/emermed-2020-209744</ArticleId><ArticleId IdType="pmc">PMC7497566</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Recenti Prog Med. 2014 Jan;105(1):7-8</Citation><ArticleIdList><ArticleId IdType="pubmed">24553591</ArticleId></ArticleIdList></Reference><Reference><Citation>Respir Care. 2015 Nov;60(11):1660-87</Citation><ArticleIdList><ArticleId IdType="pubmed">26493592</ArticleId></ArticleIdList></Reference><Reference><Citation>Acad Emerg Med. 2020 May;27(5):375-378</Citation><ArticleIdList><ArticleId 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