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Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication

In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critica...

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Autores principales: Leuzinger-Dias, Mariana, Lima-Fontes, Mário, Oliveira-Ferreira, Cláudia, Camisa, Elisa, Sousa, Cristina, Rocha-Sousa, Amândio, Falcão-Reis, Fernando, Freitas-da-Costa, Paulo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214053/
https://www.ncbi.nlm.nih.gov/pubmed/34146334
http://dx.doi.org/10.1007/s40123-021-00359-w
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author Leuzinger-Dias, Mariana
Lima-Fontes, Mário
Oliveira-Ferreira, Cláudia
Camisa, Elisa
Sousa, Cristina
Rocha-Sousa, Amândio
Falcão-Reis, Fernando
Freitas-da-Costa, Paulo
author_facet Leuzinger-Dias, Mariana
Lima-Fontes, Mário
Oliveira-Ferreira, Cláudia
Camisa, Elisa
Sousa, Cristina
Rocha-Sousa, Amândio
Falcão-Reis, Fernando
Freitas-da-Costa, Paulo
author_sort Leuzinger-Dias, Mariana
collection PubMed
description In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critically ill COVID-19 patients. Ophthalmic complications associated with the prone position are not a novelty in clinical practice. Indeed, it is estimated that in patients undergoing spine surgery, prone positioning carries a tenfold increased risk of eye injury when compared to supine and lateral positioning. The majority of these complications are treatable ocular surface disorders, but irreversible sight-threatening conditions also occur. We report a unique and dramatic case of a ruptured globe in a COVID-19 patient placed in prolonged prone position, emphasizing its difficult diagnosis and management while focusing on life-saving support.
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spelling pubmed-82140532021-06-21 Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication Leuzinger-Dias, Mariana Lima-Fontes, Mário Oliveira-Ferreira, Cláudia Camisa, Elisa Sousa, Cristina Rocha-Sousa, Amândio Falcão-Reis, Fernando Freitas-da-Costa, Paulo Ophthalmol Ther Case Report In the late 1970s, prone positioning was established as an efficient treatment for acute respiratory distress syndrome (ARDS). Currently, with the world facing a global health crisis due to the COVID-19 pandemic, it has become an accepted routine practice in intensive care units dealing with critically ill COVID-19 patients. Ophthalmic complications associated with the prone position are not a novelty in clinical practice. Indeed, it is estimated that in patients undergoing spine surgery, prone positioning carries a tenfold increased risk of eye injury when compared to supine and lateral positioning. The majority of these complications are treatable ocular surface disorders, but irreversible sight-threatening conditions also occur. We report a unique and dramatic case of a ruptured globe in a COVID-19 patient placed in prolonged prone position, emphasizing its difficult diagnosis and management while focusing on life-saving support. Springer Healthcare 2021-06-19 2021-09 /pmc/articles/PMC8214053/ /pubmed/34146334 http://dx.doi.org/10.1007/s40123-021-00359-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Report
Leuzinger-Dias, Mariana
Lima-Fontes, Mário
Oliveira-Ferreira, Cláudia
Camisa, Elisa
Sousa, Cristina
Rocha-Sousa, Amândio
Falcão-Reis, Fernando
Freitas-da-Costa, Paulo
Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title_full Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title_fullStr Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title_full_unstemmed Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title_short Prone Positioning Covid-19 Patients: A Double-Edged Sword—A Case Report of a Devastating Ocular Complication
title_sort prone positioning covid-19 patients: a double-edged sword—a case report of a devastating ocular complication
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8214053/
https://www.ncbi.nlm.nih.gov/pubmed/34146334
http://dx.doi.org/10.1007/s40123-021-00359-w
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