Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19

Proning awake patients with COVID-19 is associated with lower mortality and intubation rates. However, these studies also demonstrate low participation rates and tolerance of awake proning. In this study, we attempt to understand barriers to proning. Medical and dental students surveyed nonintubated...

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Autores principales: Shoults, Benjamin, Barber, Mary, Millham, Lucia, Mulla, Maaz, Nanji, Natasha, Steele, Grant, Peck, Tyler, Smithedajkul, Patrick, Worsham, Christopher, Currier, Paul, Raphaely, Rebecca A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Patient Experience Research Briefs
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205337/
https://www.ncbi.nlm.nih.gov/pubmed/34179358
http://dx.doi.org/10.1177/2374373520981486
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author Shoults, Benjamin
Barber, Mary
Millham, Lucia
Mulla, Maaz
Nanji, Natasha
Steele, Grant
Peck, Tyler
Smithedajkul, Patrick
Worsham, Christopher
Currier, Paul
Raphaely, Rebecca A
author_facet Shoults, Benjamin
Barber, Mary
Millham, Lucia
Mulla, Maaz
Nanji, Natasha
Steele, Grant
Peck, Tyler
Smithedajkul, Patrick
Worsham, Christopher
Currier, Paul
Raphaely, Rebecca A
author_sort Shoults, Benjamin
collection PubMed
description Proning awake patients with COVID-19 is associated with lower mortality and intubation rates. However, these studies also demonstrate low participation rates and tolerance of awake proning. In this study, we attempt to understand barriers to proning. Medical and dental students surveyed nonintubated patients to understand factors affecting adherence to a proning protocol. Only patients who discussed proning with their medical team attempted the practice. Eight of nine patients who were informed about benefits of proning attempted the maneuver. Discomfort was the primary reason patients stopped proning. Addressing discomfort and implementing systematic patient education may increase adherence to proning.
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spelling pubmed-82053372021-06-25 Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19 Shoults, Benjamin Barber, Mary Millham, Lucia Mulla, Maaz Nanji, Natasha Steele, Grant Peck, Tyler Smithedajkul, Patrick Worsham, Christopher Currier, Paul Raphaely, Rebecca A J Patient Exp Patient Experience Research Briefs Proning awake patients with COVID-19 is associated with lower mortality and intubation rates. However, these studies also demonstrate low participation rates and tolerance of awake proning. In this study, we attempt to understand barriers to proning. Medical and dental students surveyed nonintubated patients to understand factors affecting adherence to a proning protocol. Only patients who discussed proning with their medical team attempted the practice. Eight of nine patients who were informed about benefits of proning attempted the maneuver. Discomfort was the primary reason patients stopped proning. Addressing discomfort and implementing systematic patient education may increase adherence to proning. SAGE Publications 2021-01-13 /pmc/articles/PMC8205337/ /pubmed/34179358 http://dx.doi.org/10.1177/2374373520981486 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Patient Experience Research Briefs
Shoults, Benjamin
Barber, Mary
Millham, Lucia
Mulla, Maaz
Nanji, Natasha
Steele, Grant
Peck, Tyler
Smithedajkul, Patrick
Worsham, Christopher
Currier, Paul
Raphaely, Rebecca A
Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title_full Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title_fullStr Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title_full_unstemmed Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title_short Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19
title_sort feasibility and limitations of proning protocol for nonintubated patients with covid-19
topic Patient Experience Research Briefs
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205337/
https://www.ncbi.nlm.nih.gov/pubmed/34179358
http://dx.doi.org/10.1177/2374373520981486
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