Prone position in COVID 19-associated acute respiratory failure. Issue 1 (February 2022)

• Record Type: Journal Article
• Authors: Kharat, Aileen; Simon, Marie; Guérin, Claude
• Is Part Of: Current opinion in critical care. Volume 28:Issue 1(2022)
• Publication Date: 2022-02
• Subjects: acute respiratory distress syndrome -- awake prone position -- coronavirus disease 2019 -- mechanical ventilation -- prone position; Critical care medicine -- Periodicals; 616.028
• DOI: 10.1097/MCC.0000000000000900
• Languages: English
• ISSNs: 1070-5295

Abstract

Abstract : Purpose of review: Prone position has been widely used in the COVID-19 pandemic, with an extension of its use in patients with spontaneous breathing ('awake prone'). We herein propose a review of the current literature on prone position in mechanical ventilation and while spontaneous breathing in patients with COVID-19 pneumonia or COVID-19 ARDS. Recent findings: A literature search retrieved 70 studies separating whether patient was intubated (24 studies) or nonintubated (46 studies). The outcomes analyzed were intubation rate, mortality and respiratory response to prone. In nonintubated patient receiving prone position, the main finding was mortality reduction in ICU and outside ICU setting. Summary: The final results of the several randomized control trials completed or ongoing are needed to confirm the trend of these results. In intubated patients, observational studies showed that responders to prone in terms of oxygenation had a better survival than nonresponders. Abstract : Supplemental Digital Content is available in the text