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10.1177/0885066620959031

http://scihub22266oqcxt.onion/10.1177/0885066620959031
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32985317!ä!32985317

suck abstract from ncbi


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pmid32985317      J+Intensive+Care+Med 2021 ; 36 (3): 361-372
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  • Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic #MMPMID32985317
  • Sanghi P; Malik M; Hossain IT; Manzouri B
  • J Intensive Care Med 2021[Mar]; 36 (3): 361-372 PMID32985317show ga
  • PURPOSE: Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. The SARS-CoV-2 (COVID-19) pandemic has led to a surge in critical care capacity and prone positioning practices which may increase the risk of ocular complications. This article aims to review all ocular complications associated with prone positioning, with a focus on challenges posed by COVID-19. MATERIALS AND METHODS: A literature review using keywords of "intensive care", "critical care", "eye care", "ocular disorders", "ophthalmic complications," "coronavirus", "COVID-19," "prone" and "proning" was performed using the electronic databases of PUBMED, EMBASE and CINAHL. RESULTS: The effects of prone positioning on improving respiratory outcomes in critically unwell patients are well established; however, there is a lack of literature regarding the effects of prone positioning on ocular complications in the critical care setting. Sight-threatening ophthalmic disorders potentiated by proning include ocular surface disease, acute angle closure, ischemic optic neuropathy, orbital compartment syndrome and vascular occlusions. CONCLUSIONS: COVID-19 patients may be more susceptible to ocular complications with increased proning practices and increasing demand on critical care staff. This review outlines these ocular complications with a focus on preventative and treatment measures to avoid devastating visual outcomes for the patient.
  • |*Prone Position[MESH]
  • |Acute Disease[MESH]
  • |Administration, Ophthalmic[MESH]
  • |COVID-19/*therapy[MESH]
  • |Compartment Syndromes/etiology[MESH]
  • |Conjunctival Diseases/etiology[MESH]
  • |Critical Care[MESH]
  • |Eye Diseases/*etiology[MESH]
  • |Glaucoma, Angle-Closure/etiology[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Keratitis/etiology/prevention & control[MESH]
  • |Ointments/therapeutic use[MESH]
  • |Optic Neuropathy, Ischemic/etiology[MESH]
  • |Orbital Diseases/etiology[MESH]
  • |Patient Positioning/*adverse effects[MESH]
  • |Retinal Artery Occlusion/etiology[MESH]


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