Prone positioning may not be helpful for all awake hypoxemic COVID-19 patients

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A simple position does not reduce the risk of intubation in hospital patients suffering from severe respiratory failure from COVID-19, according to the COVI-PRONE test. However, patients receiving high oxygen levels may benefit from a more relaxed position. This international, multidisciplinary clinical trial also found that post-traumatic stress had no significant effect on mortality and longevity in intensive care unit or hospital.

A simple (or uncomfortable) position is a procedure that involves patients lying face down for a limited period of time. It has been used since the 1970s in patients suffering from mechanical airway obstruction for acute respiratory distress. Awakening position refers to the work that is being done on mentally ill patients who do not have mechanical ventilation.

Outside of Canada, the position is relatively simple and is widely used during disasters, despite the lack of evidence to support its reliability or validity.

At the onset of COVID-19 infection, the site is believed to be a potential site of potential intervention – which guarantees further investigation. While some studies have suggested implant placement is safe, there is insufficient evidence to recommend the use of this technique in clinical guidelines.

“We have designed COVI-PRONE to provide strong evidence, since our previous knowledge is based on small pieces of evidence from research studies,” said senior researcher Waleed Alhazzani, a professor of medicine at McMaster University and a senior physician a st. Joseph’s Healthcare Hamilton. .

The COVI-PRONE trial includes 21 hospitals in Canada, Saudi Arabia, Kuwait, and the United States. The researchers intended to use extreme posture in COVID-19 patients for 8 to 10 hours daily, with 2 to 3 breaks, as required. Participants in the control group were not disturbed and were asked not to place themselves in an easy position.

Alhazzani added that “The results of the COVI-PRONE test have improved our understanding of the efficacy and safety of placement in COVID-19 patients,” Alhazzani said.

The results of the COVI-PRONE test were published on May 15 in PEOPLE. On the same day, Alhazani presented the results at the International Conference of the American Thoracic Society in San Francisco.

Guidelines in the Guardianship, Development, and Expertise (GUIDE) at St. Joseph’s Healthcare Hamilton, which develops evidence-based clinical practice guidelines, began reviewing simple position guidelines.

“The St. Joe Leadership Group is conducting a new systematic review and research to evaluate the impact and effects of rapid wake-up status on patients with hypoxemic respiratory failure“says Sarah Culgin, co-author and research manager at St. Joe’s Hamilton Research Center.

A simple posture can be an important step, because it requires physical exercise and careful attention. With random hospitals in the event of a disaster, the following GUIDE team recommendations could have an impact on the ease of use and the use of staff resources.

Most COVI-PRONE researchers are based in and around Hamilton, including Waleed Alhazzani, Erick Duan, Jennifer Tsang, Kimberley Lewis, Bram Rochwerg, Maureen Meade, Dan Perri, Emilie Belley-Côté, Deborah Cook, John Centofanti, Lehana Thabane, Sarah Culgin, and Kate Nelson.

Two of the COVI-PRONE researchers, Waleed Alhazani and Emilie Belley-Côté, are the leaders of the GUIDE group.

“Conducting clinical trials of a highly contagious position during a disaster — with COVID-19 patients — is a matter of pride in itself,” Culgin said. “We are grateful for such a collaborative effort by doctors and scientists who have come together to see this happen.”

Lying down to improve results is difficult for most COVID-19 patients

Learn more:
Waleed Alhazzani et al, The Impact of Awakening Position on Endotracheal Intubation in Patients with COVID-19 and Shortness of Breath, PEOPLE (2022). DOI: 10.1001 / jama.2022.7993

hintThe simple position may be of no help to all COVID-19 patients (2022, May 26) who were recovered May 26, 2022 from positioning-hypoxemic-covid-patients. html

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Prone positioning may not be helpful for all awake hypoxemic COVID-19 patients Source link Prone positioning may not be helpful for all awake hypoxemic COVID-19 patients

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