COVID-19的俯卧姿势:所有人都一样?

Nithya Arigapudi, Tarun Kumar Suvvari, L. S. Simhachalam Kutikuppala
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摘要

俯卧是一种医学上允许的手术,病人通过精确、准确和安全的动作从背部转向腹部。该手术通常被用作治疗急性呼吸窘迫综合征(ARDS)的辅助手段,ARDS是许多呼吸道感染的可怕并发症,包括当前的疾病:2019冠状病毒病(COVID-19)。COVID-19由严重急性呼吸综合征冠状病毒2引起,可导致多种并发症,首当其冲的是急性呼吸窘迫综合征(ARDS),引起呼吸困难,并导致危险的低血氧水平。这种情况的治疗通常需要有创通气;为了减少对提供这种资源的压力,已经观察到几种方案来改善呼吸能力和增强氧气交换,其中一种是俯卧位。在这里,我们回顾了关于COVID-19患者的易感手术的各种文献,并阐述了其疗效、优点和缺点。
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Prone positioning in COVID-19: Same for all?
Proning is a medically admissible procedure in which a patient is turned onto their abdomen from their back, by precise, accurate, and secure motions. This procedure often finds itself in use as an adjunctive in the treatment of acute respiratory distress syndrome (ARDS), which is a dreadful complication of many respiratory infections, including the disease of the moment: Coronavirus disease 2019 (COVID-19). Caused by severe acute respiratory syndrome coronavirus 2, COVID-19 can lead to a plethora of complications, with ARDS, causing breathing difficulties and leading to hazardously low levels of oxygen in the blood, taking the forefront. The treatment of this condition often requires invasive ventilation; and to decrease the strain on resources providing such, several protocols have been observed to improve the breathing capability and enhance oxygen exchange, of which one is prone positioning. Here, we review various literature regarding the proning procedure in COVID-19 patients and elaborate the efficacy, merits, and demerits.
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