• Respir Med Case Rep · Jan 2020

    Case Reports

    Prone positioning to improve oxygenation and relieve respiratory symptoms in awake, spontaneously breathing non-intubated patients with COVID-19 pneumonia.

    • Jaques Sztajnbok, Jean Henri Maselli-Schoueri, Lucas Mendes Cunha de Resende Brasil, Lucilene Farias de Sousa, Camila Muniz Cordeiro, Luciana Marques Sansão Borges, and Ceila Maria Sant' Ana Malaque.
    • Intensive Care Unit, Emílio Ribas Institute of Infectious Diseases, São Paulo, Brazil.
    • Respir Med Case Rep. 2020 Jan 1; 30: 101096.

    AbstractEmergency departments are facing an unprecedented challenge in dealing with patients who have coronavirus disease 2019 (COVID-19). The massive number of cases evolving to respiratory failure are leading to a rapid depletion of medical resources such as respiratory support equipment, which is more critical in low- and middle-income countries. In this context, any therapeutic and oxygenation support strategy that conserves medical resources should be welcomed. Prone positioning is a well-known ventilatory support strategy to improve oxygenation levels. Self-proning can be used in the management of selected patients with COVID-19 pneumonia. Here, we describe our experience with two COVID-19-positive patients who were admitted with respiratory failure. The patients were successfully managed with self-proning and noninvasive oxygenation without the need for intubation.© 2020 Published by Elsevier Ltd.

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