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The face down position is not helpful for awake Covid-19 patients

According to a study published on JAMA on May 16, for those Covid-19 patient hospitalize (image) is breathing on its own but is supplemented with oxygen, lying face down may not help.

In the clinical trial, 400 adult patients with acute respiratory failure due to Covid-19 were randomly assigned to routine care or standard care plus intermittent prone position. This position is known to improve disease progression in patients on mechanical ventilators.

The face down position is not useful for awake Covid-19 patients - Photo 1

Over the next 30 days, 34.1% in the prone group and 40.5% in the usual care group required intubation and ventilatory placement. The researchers believe that lying on the stomach for many hours (average 5 hours/day) while the patient is awake or alert is a real challenge and greatly affects patient comfort and convenience. Therefore, the efficacy and safety of the prone position are unclear in these patients Covid-19 not intubated had acute hypoxemia, according to the study.

Thus, in patients with acute respiratory failure reduced blood oxygen Due to Covid-19, the prone position, compared with usual care without the prone position, did not significantly reduce intubation after 30 days.

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