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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Opioid+Manag 2020 ; 16 (4): 237-238 Nephropedia Template TP
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Transdermal Fentanyl patch: An approach to enhance tolerance of conscious proning in COVID-19 patients #MMPMID32886349
Mammen S; Yousuf B; Shamsah M
J Opioid Manag 2020[Jul]; 16 (4): 237-238 PMID32886349show ga
The COVID-19 ARDS appears to have worse outcomes than ARDS from other causes. It is a predictable serious complication and the key strategy is to maintain oxygenation. Adopting the prone position for conscious COVID-19 patients requiring basic respiratory support, is shown to benefit patients in terms of improving oxygenation, reducing the need for invasive ventilation and potentially even reducing mortality. Cough and myalgia are the common and most distressing symptoms seen in conscious COVID-19 patients which can impair tolerance to awake proning. Modified awake proning with application of transdermal fentanyl patch (TFP) can improve the compliance to conscious proning in COVID-19 patients.