Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department

We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO(2) value and PaO(2)/FiO(2) ratio...

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Autores principales: Bastoni, Davide, Poggiali, Erika, Vercelli, Andrea, Demichele, Elena, Tinelli, Valentina, Iannicelli, Teresa, Magnacavallo, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Report from the Front
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7497566/
https://www.ncbi.nlm.nih.gov/pubmed/32748797
http://dx.doi.org/10.1136/emermed-2020-209744
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author Bastoni, Davide
Poggiali, Erika
Vercelli, Andrea
Demichele, Elena
Tinelli, Valentina
Iannicelli, Teresa
Magnacavallo, Andrea
author_facet Bastoni, Davide
Poggiali, Erika
Vercelli, Andrea
Demichele, Elena
Tinelli, Valentina
Iannicelli, Teresa
Magnacavallo, Andrea
author_sort Bastoni, Davide
collection PubMed
description We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO(2) value and PaO(2)/FiO(2) ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.
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spelling pubmed-74975662020-09-28 Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department Bastoni, Davide Poggiali, Erika Vercelli, Andrea Demichele, Elena Tinelli, Valentina Iannicelli, Teresa Magnacavallo, Andrea Emerg Med J Report from the Front We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO(2) value and PaO(2)/FiO(2) ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning. BMJ Publishing Group 2020-09 2020-07-06 /pmc/articles/PMC7497566/ /pubmed/32748797 http://dx.doi.org/10.1136/emermed-2020-209744 Text en © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.https://bmj.com/coronavirus/usage
spellingShingle Report from the Front
Bastoni, Davide
Poggiali, Erika
Vercelli, Andrea
Demichele, Elena
Tinelli, Valentina
Iannicelli, Teresa
Magnacavallo, Andrea
Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title_full Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title_fullStr Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title_full_unstemmed Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title_short Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
title_sort prone positioning in patients treated with non-invasive ventilation for covid-19 pneumonia in an italian emergency department
topic Report from the Front
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7497566/
https://www.ncbi.nlm.nih.gov/pubmed/32748797
http://dx.doi.org/10.1136/emermed-2020-209744
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