ABSTRACT

Key Research Question: In Awake Non-Intubated Patients with SARS-COV-2 Pneumonia Who Are Being Cared for in Acute Care Facilities, is Prone Positioning Safe and/or Effective at Improving Patient Outcomes?   [open pdf - 341KB]

From the Context: "[1] Prone Positioning is a non-pharmacological therapy for hypoxemic respiratory failure and acute respiratory distress syndrome (ARDS) where patients lay on their stomach rather than their back[.] [2] Prone positioning intubated and mechanically ventilated patients with moderate-severe ARDS within an intensive care unit (ICU) is a proven life-saving intervention. [...] [3] Prone positioning non-intubated patients has gained attention as a potential treatment through small case reports and uncontrolled case series, social media, and conventional media reports. [4] Awake prone positioning non-intubated patients has been attempted on hospital wards outside of the ICU in the Calgary zone without a formal protocol or a detailed evaluation of the risks and benefits. [5] These guidelines are intended for clinicians who may be responsible for patients with hypoxemic respiratory failure who are hospitalized and not yet requiring the ICU."

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Date:
2020-05-19
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2020 Alberta Health Services. Posted here with permission. Document is under a Creative Commons license and requires proper attribution and noncommercial use to be shared: [https://creativecommons.org/licenses/by-nc-nd/4.0]
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Alberta Health Services: https://www.albertahealthservices.ca/
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pdf
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application/pdf
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