How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS?
Objective: The importance of prone positioning has increased with the density of coronavirus disease-2019-related acute respiratory distress syndrome (C-ARDS) during the pandemic process. It is aimed to investigate the effect of prolonged duration of prone positioning in C-ARDS patients on the blood...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2024-03-01
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| Series: | Türk Yoğun Bakim Derneği Dergisi |
| Subjects: | |
| Online Access: |
http://www.turkishjic.org/archives/archive-detail/article-preview/how-long-should-the-prone-position-be-applied-in-t/60355
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| _version_ | 1797265011882590208 |
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| author | Tuğba Yücel Sinan Aşar Canberk Çetinel Aylin Parmaksız Yasemin Tekdöş Şeker Zafer Çukurova |
| author_facet | Tuğba Yücel Sinan Aşar Canberk Çetinel Aylin Parmaksız Yasemin Tekdöş Şeker Zafer Çukurova |
| author_sort | Tuğba Yücel |
| collection | DOAJ |
| description | Objective: The importance of prone positioning has increased with the density of coronavirus disease-2019-related acute respiratory distress syndrome (C-ARDS) during the pandemic process. It is aimed to investigate the effect of prolonged duration of prone positioning in C-ARDS patients on the blood gas parameters at the time after supine positioning (post-prone effect), the feasibility, the safety, and the mortality for 28 days. Materials and Methods: This study was a single-center prospective observational study with 1000 beds, 432 of which were intensive care units. Severe and moderate ARDS; the blood gas parameters (PaO2/FiO2, PaO2, SpO2 etc.) of the patients who were applied the standard prone (16 hours) and the extended prone (36 hours) position were compared. Results: It was observed that PaO2/FiO2 PaO2 and SpO2 values measured at the 8th hour (t4) (post-prone) after the prone was placed in the supine position in the prolonged prone group were higher than before the prone (t1) (p<0.001). In the standard prone group, PaO2/FiO2, PaO2, and SpO2 values were not maintained in the post-prone period and were even lower than before the prone. The mortality of patients in the standard prone group was 51.7% (n=31); in the prolonged prone group, the mortality was 45% (n=27). Conclusion: With the application of the prolonged prone position, it has been observed that C-ARDS patients have better blood gas exchange with less manpower without harming the patients (pressure ulcer, retinal damage, joint damage, etc.). |
| first_indexed | 2024-04-25T00:38:01Z |
| format | Article |
| id | doaj.art-d24cc7299ff04d1ea12eaac44be38ced |
| institution | Directory Open Access Journal |
| issn | 2146-6416 2147-267X |
| language | English |
| last_indexed | 2024-04-25T00:38:01Z |
| publishDate | 2024-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Yoğun Bakim Derneği Dergisi |
| spelling | doaj.art-d24cc7299ff04d1ea12eaac44be38ced2024-03-12T13:47:49ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2024-03-01221748210.4274/tybd.galenos.2023.4745013049054How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS?Tuğba Yücel0Sinan Aşar1Canberk Çetinel2Aylin Parmaksız3Yasemin Tekdöş Şeker4Zafer Çukurova5 University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey University of Health Sciences Turkey, Bakırköy Dr. Sadi Konuk Training and Research Hospital; Yeşilköy Prof. Dr. Murat Dilmener Emergency Hospital, Clinic of Anesthesiology and Reanimation, Intensive Care Unit, İstanbul, Turkey Objective: The importance of prone positioning has increased with the density of coronavirus disease-2019-related acute respiratory distress syndrome (C-ARDS) during the pandemic process. It is aimed to investigate the effect of prolonged duration of prone positioning in C-ARDS patients on the blood gas parameters at the time after supine positioning (post-prone effect), the feasibility, the safety, and the mortality for 28 days. Materials and Methods: This study was a single-center prospective observational study with 1000 beds, 432 of which were intensive care units. Severe and moderate ARDS; the blood gas parameters (PaO2/FiO2, PaO2, SpO2 etc.) of the patients who were applied the standard prone (16 hours) and the extended prone (36 hours) position were compared. Results: It was observed that PaO2/FiO2 PaO2 and SpO2 values measured at the 8th hour (t4) (post-prone) after the prone was placed in the supine position in the prolonged prone group were higher than before the prone (t1) (p<0.001). In the standard prone group, PaO2/FiO2, PaO2, and SpO2 values were not maintained in the post-prone period and were even lower than before the prone. The mortality of patients in the standard prone group was 51.7% (n=31); in the prolonged prone group, the mortality was 45% (n=27). Conclusion: With the application of the prolonged prone position, it has been observed that C-ARDS patients have better blood gas exchange with less manpower without harming the patients (pressure ulcer, retinal damage, joint damage, etc.). http://www.turkishjic.org/archives/archive-detail/article-preview/how-long-should-the-prone-position-be-applied-in-t/60355 prone positioncovid-19respiratory distress syndromepao2/fio2pandemic |
| spellingShingle | Tuğba Yücel Sinan Aşar Canberk Çetinel Aylin Parmaksız Yasemin Tekdöş Şeker Zafer Çukurova How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? Türk Yoğun Bakim Derneği Dergisi prone position covid-19 respiratory distress syndrome pao2/fio2 pandemic |
| title | How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? |
| title_full | How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? |
| title_fullStr | How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? |
| title_full_unstemmed | How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? |
| title_short | How Long Should the Prone Position be Applied in the Treatment of SARS-CoV-2 ARDS? |
| title_sort | how long should the prone position be applied in the treatment of sars cov 2 ards |
| topic | prone position covid-19 respiratory distress syndrome pao2/fio2 pandemic |
| url |
http://www.turkishjic.org/archives/archive-detail/article-preview/how-long-should-the-prone-position-be-applied-in-t/60355
|
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