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Awake prone positioning in COVID-19.

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journal contribution
posted on 06.07.2020, 15:02 by David Koeckerling, Joseph Barker, Nadeesha L Mudalige, Oluwatobiloba Oyefeso, Daniel Pan, Manish Pareek, Jonathan P Thompson, G Andre Ng
In the absence of effective targeted therapies for COVID-19, optimisation of supportive care is essential. Lung injury with features of acute respiratory distress syndrome (ARDS) appears to be the principal characteristic of severe acute respiratory syndrome coronavirus 2 infection.1 Recent guidance by the UK Intensive Care Society (ICS) advocates awake prone positioning to become standard of care for suspected or confirmed COVID-19, in patients requiring an FiO2 ≥28%0.2 These recommendations are extrapolated from physiological principles and clinical evidence obtained in a distinct study population—patients with severe ARDS undergoing invasive mechanical ventilation (IMV). [Opening paragraph]

History

Citation

Thorax Published Online First: 16 June 2020. doi: 10.1136/thoraxjnl-2020-215133

Author affiliation

Department of Cardiovascular Sciences

Version

AM (Accepted Manuscript)

Published in

Thorax

Publisher

BMJ

issn

0040-6376

eissn

1468-3296

Copyright date

2020

Available date

16/06/2020

Spatial coverage

England

Language

eng

Publisher version

https://thorax.bmj.com/content/early/2020/06/15/thoraxjnl-2020-215133

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