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10.1016/j.diabet.2020.05.009

http://scihub22266oqcxt.onion/10.1016/j.diabet.2020.05.009
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suck abstract from ncbi


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pmid32473964      Diabetes+Metab 2021 ; 47 (2): 101167
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  • Towards individualised and optimalised positioning of non-ventilated COVID-19 patients: Putting the affected parts of the lung(s) on top? #MMPMID32473964
  • Froelich S; Mandonnet E; Julla JB; Touchard C; Laloi-Michelin M; Kevorkian JP; Gautier JF
  • Diabetes Metab 2021[Mar]; 47 (2): 101167 PMID32473964show ga
  • The outbreak of COVID-19 led to an unprecedented inflow of hospitalised patients with severe acute respiratory syndrome (SARS), requiring high-flow non-invasive oxygenation, if not invasive mechanical ventilation. While the best option in terms of non-invasive systems of oxygen delivery is still a matter of debate, it also remains unclear as to whether or not the optimal in-bed positioning of patients might also help to improve their oxygen saturation levels. On the basis of three representative cases, it is possible to propose the following hypotheses: (i) how patients are positioned has a strong influence on their oxygen saturation levels; (ii) saturation-optimalised positions are patient-specific; (iii) prone positions require ergonomic devices; and (iv) saturation-optimalised positions should aim to place the most affected part(s) of the lung(s) on top. Considered together, these hypotheses have led us to recommend that COVID-19 patients should undergo a specific assessment at admission to determine their saturation-optimalised in-bed position. However, further studies are still needed to assess the benefits of such a strategy on clinical outcomes.
  • |Aged[MESH]
  • |COVID-19/diagnostic imaging/*therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Postural Balance[MESH]
  • |Prone Position[MESH]
  • |Respiration, Artificial[MESH]
  • |SARS-CoV-2[MESH]


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