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10.1155/2020/6688120

http://scihub22266oqcxt.onion/10.1155/2020/6688120
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33299605!7701208!33299605
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suck abstract from ncbi


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pmid33299605      Crit+Care+Res+Pract 2020 ; 2020 (ä): 6688120
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  • Prone Position after Liberation from Prolonged Mechanical Ventilation in COVID-19 Respiratory Failure #MMPMID33299605
  • Karpov A; Mitra AR; Crowe S; Haljan G
  • Crit Care Res Pract 2020[]; 2020 (ä): 6688120 PMID33299605show ga
  • DESIGN: This is a retrospective case series describing the feasibility and tolerability of postextubation prone positioning (PEPP) and its impact on physiologic parameters in a tertiary intensive care unit during the COVID-19 pandemic. Setting and Patients. This study was conducted on patients with COVID-19 respiratory failure hospitalized in a tertiary Intensive Care Unit at Surrey Memorial Hospital during the COVID-19 pandemic. Measurements and Results. We did not find prior reports of PEPP following prolonged intubation in the literature. Four patients underwent a total of 13 PEPP sessions following liberation from prolonged mechanical ventilation. Each patient underwent a median of 3 prone sessions (IQR: 2, 4.25) lasting a median of 1.5 hours (IQR: 1.2, 2.1). PEPP sessions were associated with a reduction in median oxygen requirements, patient respiratory rate, and reintubation rate. The sessions were well tolerated by patients, nursing, and the allied health team. CONCLUSIONS: The novel practice of PEPP after liberation from prolonged mechanical ventilation in patients with COVID-19 respiratory failure is feasible and well tolerated, and may be associated with favourable clinical outcomes including improvement in oxygenation and respiratory rate and a low rate of reintubation. Larger prospective studies of PEPP are warranted.
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