Comparison of prone position effectiveness with percentage of injured lung area in awake non - intubated COVID-19 patients

Year 2022, , 417 - 422, 15.03.2022

Canan Gürsoy , Özge Oral Tapan , Emrah Doğan , Turhan Togan , Semra Demirbilek

https://doi.org/10.32322/jhsm.1031996

Cited By: 1

Abstract

Aim: Prone position plays a key role in the treatment of both non-intubated and intubated patients because COVID-19 associated respiratory failure is gas exchange abnormalities based on shunt and dead-space ventilation. In this study, we aimed to compare the effect of prone position applied in awake non-intubated COVID-19 patients with percentage of injured lung area.
Material and Method: 65 patients with awake, non-intubated were included in this prospective, single-center study. Percentage of injured lung area was calculated using chest computer tomography taken during diagnosis of patients. The prone position cycle was applied as 6 hours prone, 4-6 hours supine position.
Results: The mean of percentage of injured lung area was 25.16±13.81. When percentage of injured lung area groups were compared with the 0th, 6th, 24th and 48th hour SpO2/FIO2 ratio and respiratory frequency; while the SpO2/FIO2 ratio increased in all hours with prone position in the 0-10% and 10-30% groups, a decrease was observed in the SpO2/FIO2 ratio over time in the ≥ 30% group.
Conclusions: The prone position is a safe and effective application that causes improvement in SpO2/FIO2 ratio and RR in awake non-intubated COVID-19 patients with less damage to the lung. However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.

Keywords

Acute hypoxemic respiratory failure, COVID-19, prone position, critical care, lung injury

Project Number

YOK

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