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10.1177/0885066620934801 http://scihub22266oqcxt.onion/10.1177/0885066620934801 32633215!7394050!32633215     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Intensive+Care+Med 2020 ; 35 (8): 818-824 Nephropedia Template TP {{tp|p=32633215|t=2020. Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and a Review |pdf=|usr=}}{{32633215}} gab.com Text Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and a Review JO: J Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=32633215 #FOAvip It has been well known for decades that prone positioning (PP) improves oxygenation. However, it has gained widespread acceptance only in the last few years since studies have shown significant survival benefit. Many centers have established prone ventilation in their treatment algorithm for mechanically ventilated patients with severe acute respiratory distress syndrome (ARDS). Physiologically, PP should also benefit awake, non-intubated patients with acute hypoxemic respiratory failure. However, proning in non-intubated (PINI) patients did not gain any momentum until a few months ago when the Coronavirus disease 2019 (COVID-19) pandemic surged. A large number of sick patients overwhelmed the health care system, and many centers faced a dearth of ventilators. In addition, outcomes of patients placed on mechanical ventilation because of COVID-19 infection have been highly variable and often dismal. Hence, increased focus has shifted to using various strategies to prevent intubation, such as PINI. There is accumulating evidence that PINI is a low-risk intervention that can be performed even outside intensive care unit with minimal assistance and may prevent intubation in certain patients with ARDS. It can also be performed safely at smaller centers and, therefore, may reduce the patient transfer to larger institutions that are overwhelmed in the current crisis. We present a case series of 2 patients with acute hypoxemic respiratory failure who experienced significant improvements in oxygenation with PP. In addition, the physiology of PP is described, and concerns such as proning in obese and patient's anxiety are addressed; an educational pamphlet that may be useful for both patients and health care providers is provided. Twit Text FOAVip Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and a Review ????J Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=32633215 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32633215 #FOAvip English Wikipedia <ref>{{Cite pmid|32633215}}</ref> Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and a Review #MMPMID32633215 Paul V; Patel S; Royse M; Odish M; Malhotra A; Koenig S J Intensive Care Med 2020[Aug]; 35 (8): 818-824 PMID32633215show ga It has been well known for decades that prone positioning (PP) improves oxygenation. However, it has gained widespread acceptance only in the last few years since studies have shown significant survival benefit. Many centers have established prone ventilation in their treatment algorithm for mechanically ventilated patients with severe acute respiratory distress syndrome (ARDS). Physiologically, PP should also benefit awake, non-intubated patients with acute hypoxemic respiratory failure. However, proning in non-intubated (PINI) patients did not gain any momentum until a few months ago when the Coronavirus disease 2019 (COVID-19) pandemic surged. A large number of sick patients overwhelmed the health care system, and many centers faced a dearth of ventilators. In addition, outcomes of patients placed on mechanical ventilation because of COVID-19 infection have been highly variable and often dismal. Hence, increased focus has shifted to using various strategies to prevent intubation, such as PINI. There is accumulating evidence that PINI is a low-risk intervention that can be performed even outside intensive care unit with minimal assistance and may prevent intubation in certain patients with ARDS. It can also be performed safely at smaller centers and, therefore, may reduce the patient transfer to larger institutions that are overwhelmed in the current crisis. We present a case series of 2 patients with acute hypoxemic respiratory failure who experienced significant improvements in oxygenation with PP. In addition, the physiology of PP is described, and concerns such as proning in obese and patient's anxiety are addressed; an educational pamphlet that may be useful for both patients and health care providers is provided. |*Anxiety/physiopathology/prevention & control[MESH] |*Coronavirus Infections/epidemiology/metabolism/physiopathology/therapy[MESH] |*Obesity/epidemiology/physiopathology[MESH] |*Pandemics[MESH] |*Pneumonia, Viral/diagnostic imaging/epidemiology/etiology/metabolism/physiopathology/psychology/therapy[MESH] |*Respiratory Insufficiency/etiology/physiopathology/psychology/therapy[MESH] |Adult[MESH] |Betacoronavirus/isolation & purification[MESH] |COVID-19[MESH] |Humans[MESH] |Hypoxia/etiology/therapy[MESH] |Male[MESH] |Oxygen Consumption[MESH] |Oxygen Inhalation Therapy/methods[MESH] |Patient Positioning/*methods[MESH] |Prone Position/*physiology[MESH] |Respiration, Artificial/methods[MESH] |SARS-CoV-2[MESH]Proning in Non-Intubated (PINI) in Times of COVID-19: Case Series and (epmc).pdf DeepDyve Pubget Overpricing