Awake prone positioning in COVID-19.
journal contributionposted 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]