Proning during covid-19: Challenges and solutions

Shannon Cotton, Qais Zawaydeh, Shannon LeBlanc, Abdurrahman Husain, Atul Malhotra, Shannon Cotton, Qais Zawaydeh, Shannon LeBlanc, Abdurrahman Husain, Atul Malhotra

Abstract

Despite proven benefits to prone positioning in ARDS, a disconnect exists regarding the impressions of its utility among members of the healthcare team. While the majority of physicians view prone positioning as beneficial in ARDS, recent data suggest that the minority of ICU nurses have the same impression. The COVID pandemic has raised particularly challenges in terms of availability of personnel and supplies at least in some institutions. We discuss various barriers to implementation of prone positioning and suggest a number of strategies to optimize patient care. We use a multidisciplinary team approach to execute prone positioning in COVID ARDS.

Keywords: ARDS; Hypoxemia; Mechanical Ventilation; Prone.

Conflict of interest statement

Declaration of competing interests Disclosure: All authors report no relevant conflicts. Dr. Malhotra is funded by the NIH. ResMed provided a philanthropic donation to UC San Diego. Dr. Malhotra has received income related to medical education from Merck and Livanova, unrelated to this manuscript.

Copyright © 2020 Elsevier Inc. All rights reserved.

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Source: PubMed

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