In the fourth program of the 2021 Current Topics in Respiratory Care video series, lecturer Carolyn J. La Vita, MHA, RRT, discusses “Prone Position for Ventilated and Non-Ventilated COVID-19 Patients.”
Profound sudden hypoxemia has been a hallmark of COVID-19 respiratory failure. Oxygen administration, CPAP and invasive ventilation with PEEP are met with meddlesome success. Prone positioning has been shown to improve outcomes in severe ARDS. The role of prone positioning in COVID-19 has been espoused. Of note, self-proning with HFNC or CPAP has been advocated, attempting to take advantage of the alterations in V/Q associated with COVID-19 which remain incompletely understood. Proning teams have been developed and outcomes are still being reported. The use of ironing before and after intubation will be reviewed.
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