Κατεύθυνση Κλινική Νοσηλευτική: Εντατική και Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2023-07-19

2023

Natsi Polyxeni

Άννα Κορομπέλη, ΕΔΙΠ, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Παύλος Μυριανθεύς, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Θεόδωρος Μαριόλης Σαψάκος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ

Η πρηνής θέση ως αντιμετώπιση του συνδρόμου οξείας αναπνευστικής δυσχέρειας (ards) σε ασθενείς με covid 19

Greek

The prone position as a treatment for acute respiratory distress syndrome (ards) in patients with covid 19

Introduction: The prone position is considered an alternative non-invasive method in patients with ARDS due to covid-19 infection
Aim: The aim of this review is to highlight, investigate and evaluate the efficacy of the prone position in intubated and non
Material and Methods: A systematic review of the international literature was conducted through the Pubmed, Scopus and Cohrane online databases from April 2020 to December 2022. The keywords selected for the search and review of scientific studies were "acute respiratory distress syndrome (ARDS)", "COVID-19", "prone positioning", "PEEP", "Acute respiratory failure", "mechanical ventilation", "oxygenation", "Awake Prone Positioning (APP)" and were mainly searched in the title and abstract of the text.
Results: Through prone positioning, a reduction in mortality rate, improvement in oxygenation, reduction in the need for intubation in awake patients, and reduction in ICU length of stay were achieved. A key role is taken by combining the prone position with supplemental oxygen in awake patients such as the use of non-invasive ventilation (NIV) or high flow nasal cannula (H.F.N.C), and in intubated patients the implementation of high PEEP depending on the severity of covid-ARDS. Its duration and timely application has a positive outcome in patients. The most common barriers to the use of prone positioning are the resources of the individual hospital, nursing staff and their training, and patient tolerance of prone positioning, especially in awake patients.
Conclusions: The prone position in improving oxygenation is as effective in patients with covid-ARDS as in patients with moderate or severe ARDS. Its systematic implementation produces beneficial effects in patients with covid-ARDS and should be adopted internationally in all healthcare units and appropriate education and information should be provided to staff working outside and inside ICUs. However further studies should be conducted to find out the efficacy and appropriateness of this method.

Health Sciences

Acute respiratory distress syndrome (ARDS), COVID-19, Prone positioning, PEEP, Acute respiratory failure, Mechanical ventilation ,Oxygenation, Awake Prone Positioning (APP)

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https://pergamos.lib.uoa.gr/uoa/dl/object/3336616