Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.
Identifieur interne : 000311 ( Main/Exploration ); précédent : 000310; suivant : 000312Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.
Auteurs : Davide Bastoni [Oman] ; Erika Poggiali [Italie] ; Andrea Vercelli [Italie] ; Elena Demichele [Italie] ; Valentina Tinelli [Italie] ; Teresa Iannicelli [Italie] ; Andrea Magnacavallo [Italie]Source :
- Emergency medicine journal : EMJ [ 1472-0213 ] ; 2020.
Descripteurs français
- KwdFr :
- Betacoronavirus (isolement et purification), Consommation d'oxygène (MeSH), Décubitus ventral (MeSH), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (physiopathologie), Infections à coronavirus (thérapie), Infections à coronavirus (épidémiologie), Insuffisance respiratoire (physiopathologie), Insuffisance respiratoire (thérapie), Insuffisance respiratoire (étiologie), Italie (épidémiologie), Mâle (MeSH), Oxygénothérapie (méthodes), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (physiopathologie), Pneumopathie virale (thérapie), Pneumopathie virale (épidémiologie), Pneumopathie virale (étiologie), Positionnement du patient (MeSH), Résultat thérapeutique (MeSH), Service hospitalier d'urgences (statistiques et données numériques), Sujet âgé (MeSH), Ventilation en pression positive continue (méthodes), Ventilation non effractive (méthodes).
- MESH :
- isolement et purification : Betacoronavirus.
- méthodes : Oxygénothérapie, Ventilation en pression positive continue, Ventilation non effractive.
- physiopathologie : Infections à coronavirus, Insuffisance respiratoire, Pneumopathie virale.
- statistiques et données numériques : Service hospitalier d'urgences.
- thérapie : Infections à coronavirus, Insuffisance respiratoire, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Italie, Pneumopathie virale.
- étiologie : Insuffisance respiratoire, Pneumopathie virale.
- Consommation d'oxygène, Décubitus ventral, Femelle, Humains, Mâle, Pandémies, Positionnement du patient, Résultat thérapeutique, Sujet âgé.
- Wicri :
- geographic : Italie.
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
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<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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<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (physiopathologie)</term>
<term>Infections à coronavirus (thérapie)</term>
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<term>Oxygénothérapie (méthodes)</term>
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<term>Pneumopathie virale (physiopathologie)</term>
<term>Pneumopathie virale (thérapie)</term>
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<term>Pneumopathie virale (étiologie)</term>
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<term>Résultat thérapeutique (MeSH)</term>
<term>Service hospitalier d'urgences (statistiques et données numériques)</term>
<term>Sujet âgé (MeSH)</term>
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<term>Ventilation non effractive (méthodes)</term>
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<term>Pneumonia, Viral</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
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<term>Insuffisance respiratoire</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Respiratory Insufficiency</term>
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<term>Pneumopathie virale</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Female</term>
<term>Humans</term>
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<term>Pandemics</term>
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<term>Décubitus ventral</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pandémies</term>
<term>Positionnement du patient</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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<DateCompleted><Year>2020</Year>
<Month>09</Month>
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<Title>Emergency medicine journal : EMJ</Title>
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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>
</Abstract>
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<Author ValidYN="Y"><LastName>Iannicelli</LastName>
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<AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Magnacavallo</LastName>
<ForeName>Andrea</ForeName>
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<AffiliationInfo><Affiliation>Emergenza, Azienda USL di Piacenza, Piacenza, Italy.</Affiliation>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D045422" MajorTopicYN="N">Continuous Positive Airway Pressure</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N" Type="Geographic">Italy</DescriptorName>
<QualifierName UI="Q000453" 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>
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<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 IdType="pubmed">32320506</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Italie</li>
<li>Oman</li>
</country>
</list>
<tree><country name="Oman"><noRegion><name sortKey="Bastoni, Davide" sort="Bastoni, Davide" uniqKey="Bastoni D" first="Davide" last="Bastoni">Davide Bastoni</name>
</noRegion>
</country>
<country name="Italie"><noRegion><name sortKey="Poggiali, Erika" sort="Poggiali, Erika" uniqKey="Poggiali E" first="Erika" last="Poggiali">Erika Poggiali</name>
</noRegion>
<name sortKey="Demichele, Elena" sort="Demichele, Elena" uniqKey="Demichele E" first="Elena" last="Demichele">Elena Demichele</name>
<name sortKey="Iannicelli, Teresa" sort="Iannicelli, Teresa" uniqKey="Iannicelli T" first="Teresa" last="Iannicelli">Teresa Iannicelli</name>
<name sortKey="Magnacavallo, Andrea" sort="Magnacavallo, Andrea" uniqKey="Magnacavallo A" first="Andrea" last="Magnacavallo">Andrea Magnacavallo</name>
<name sortKey="Tinelli, Valentina" sort="Tinelli, Valentina" uniqKey="Tinelli V" first="Valentina" last="Tinelli">Valentina Tinelli</name>
<name sortKey="Vercelli, Andrea" sort="Vercelli, Andrea" uniqKey="Vercelli A" first="Andrea" last="Vercelli">Andrea Vercelli</name>
</country>
</tree>
</affiliations>
</record>
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