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Awake Proning: Current Evidence and Practical Considerations

Prone positioning has been shown to improve oxygenation for decades. However, proning in awake, non-intubated patients gained acceptance in the last few months since the onset of coronavirus (COVID-19) pandemic. To overcome the shortage of ventilators, to decrease the overwhelming burden on intensiv...

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Detalles Bibliográficos
Autores principales: Sodhi, Kanwalpreet, Chanchalani, Gunjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775938/
https://www.ncbi.nlm.nih.gov/pubmed/33446979
http://dx.doi.org/10.5005/jp-journals-10071-23684
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author Sodhi, Kanwalpreet
Chanchalani, Gunjan
author_facet Sodhi, Kanwalpreet
Chanchalani, Gunjan
author_sort Sodhi, Kanwalpreet
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description Prone positioning has been shown to improve oxygenation for decades. However, proning in awake, non-intubated patients gained acceptance in the last few months since the onset of coronavirus (COVID-19) pandemic. To overcome the shortage of ventilators, to decrease the overwhelming burden on intensive care beds in the pandemic era, and also as invasive ventilation was associated with poor outcomes, proning of awake, spontaneously breathing patients gathered momentum. Being an intervention with minimal risk and requiring minimum assistance, it is now a globally accepted therapy to improve oxygenation in acute hypoxemic respiratory failure in COVID-19 patients. We thus reviewed the literature of awake proning in non-intubated patients and described a safe protocol to practice the same. How to cite this article: Sodhi K, Chanchalani G. Awake Proning: Current Evidence and Practical Considerations. Indian J Crit Care Med 2020;24(12):1236–1241.
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spelling pubmed-77759382021-01-13 Awake Proning: Current Evidence and Practical Considerations Sodhi, Kanwalpreet Chanchalani, Gunjan Indian J Crit Care Med Review Article Prone positioning has been shown to improve oxygenation for decades. However, proning in awake, non-intubated patients gained acceptance in the last few months since the onset of coronavirus (COVID-19) pandemic. To overcome the shortage of ventilators, to decrease the overwhelming burden on intensive care beds in the pandemic era, and also as invasive ventilation was associated with poor outcomes, proning of awake, spontaneously breathing patients gathered momentum. Being an intervention with minimal risk and requiring minimum assistance, it is now a globally accepted therapy to improve oxygenation in acute hypoxemic respiratory failure in COVID-19 patients. We thus reviewed the literature of awake proning in non-intubated patients and described a safe protocol to practice the same. How to cite this article: Sodhi K, Chanchalani G. Awake Proning: Current Evidence and Practical Considerations. Indian J Crit Care Med 2020;24(12):1236–1241. Jaypee Brothers Medical Publishers 2020-12 /pmc/articles/PMC7775938/ /pubmed/33446979 http://dx.doi.org/10.5005/jp-journals-10071-23684 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review Article
Sodhi, Kanwalpreet
Chanchalani, Gunjan
Awake Proning: Current Evidence and Practical Considerations
title Awake Proning: Current Evidence and Practical Considerations
title_full Awake Proning: Current Evidence and Practical Considerations
title_fullStr Awake Proning: Current Evidence and Practical Considerations
title_full_unstemmed Awake Proning: Current Evidence and Practical Considerations
title_short Awake Proning: Current Evidence and Practical Considerations
title_sort awake proning: current evidence and practical considerations
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775938/
https://www.ncbi.nlm.nih.gov/pubmed/33446979
http://dx.doi.org/10.5005/jp-journals-10071-23684
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