A1(1212 Elkattawy S, Noori M. A case of improved oxygenation in SARS-CoV-2 positive patient on nasal cannula undergoing prone positioning, Respir Med Case Rep. 2020;30. doi: https://doi.org/10.1016/j.rmcr.2020.101070 https://doi.org/10.1016/j.rmcr.2020.1010...
)
|
USA |
Case study |
To verify the effect of prone positioning in one patient who tested positive for SARS-CoV-2. |
PP is a vital part of the management plan and should be adopted early on to decrease mortality. |
4d |
A2(1313 Jin Y, Cai L, Cheng Z,Cheng H, Deng T, Fan Y, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Mil Med Res. 2020;7:4. doi: https://doi.org/10.1186/s40779-020-0233-6 https://doi.org/10.1186/s40779-020-0233-...
)
|
China |
Expert consensus |
Establish guidelines to work with patients infected with 2019-nCoV. |
If a patient who tested positive for COVID-19 develops ARDS, the adoption of invasive mechanical ventilation combined with prone positioning is necessary. |
5b |
A3(1414 Government of Canada. Clinical management of patients with moderate to severe COVID-19 - Interim guidance. [Internet]. 2020 [cited Jul 14, 2020]. Available from: https://www.canada.ca/en/public-health/services/diseases/2019-novel-coronavirus-infection/clinical-management-covid-19.html https://www.canada.ca/en/public-health/s...
)
|
Canada |
Expert consensus |
Serve as the basis to optimize supportive care for patients with COVID-19. |
The implementation of PP is strongly recommended for adult patients with COVID-19, though it requires sufficient human resources and appropriate knowledge. |
5b |
A4(1515 Arabi YM, Fowler R, Hayden FG. Critical Care Management of Adults With Community-Acquired Severe Respiratory Viral Infection. Intensive Care Med. 2020;46(2):315-28. doi: https://doi.org/10.1007/s00134-020-05943-5 https://doi.org/10.1007/s00134-020-05943...
)
|
Saudi Arabia |
Narrative review |
Describe the management of patients with ARDS caused by COVID. |
Prone positioning, implemented among patients with severe ARDS, was associated with improved oxygenation, which was sustained after returning to the supine position. |
n/e
|
A5(1616 Piva S, Filippini M, Turla F, Cattaneo S, Margola A, Fulviis S. Clinical presentation and initial management critically ill patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in Brescia, Italy. J Crit Care. 2020;14(58):29-33. doi: https://doi.org/10.1016/j.jcrc.2020.04.004 https://doi.org/10.1016/j.jcrc.2020.04.0...
)
|
Italy |
Prospective cohort |
Report the experience of a hospital with patients with COVID-19. |
PP is suggested as an early treatment for COVID-19. |
3c |
A6(1717 Associação Brasileira de Fisioterapia Cardiorrespiratória e Fisioterapia em Terapia Intensiva. Posição prona no tratamento da insuficiência respiratória aguda na covid-19. [Internet]. São Paulo: ASSOBRAFIR; 2020 [Acesso 14 jul 2020]. Disponível em: https://assobrafir.com.br/wp-content/uploads/2020/03/ASSOBRAFIR_COVID-19_PRONA.v3-1.pdf https://assobrafir.com.br/wp-content/upl...
)
|
Brazil |
Expert consensus |
PP in the treatment of acute respiratory distress in COVID-19. |
Even though PP is a resource that improves oxygenation, caution is recommended when prescribing this positioning during the COVID-19 pandemic. |
5b |
A7(1818 Bamford P, Bentley A, Dean J, Whitmore D, Wilson-Baig N. ICS Guidance for Prone Positioning of the Conscious COVID Patient 2020. [Internet]. London: Intensive Care Society; 2020 [cited Jul 14, 2020]. Available from: https://emcrit.org/wp-content/uploads/2020/04/2020-04-12-Guidance-for-conscious-proning.pdf https://emcrit.org/wp-content/uploads/20...
)
|
United Kingdom |
Expert consensus |
Develop a flowchart to identify the benefits of prone positioning among patients with COVID-19. |
Given the potential of PP to improve the oxygenation of patients with COVID-19, its use is recommended for all suitable and conscious patients in the ward. |
5b |
A8(1919 Ghelichkhani P, EsmaeilI M. Prone Position in Management of COVID-19 Patients; a Commentary. Arch Acad Emerg Med. [Internet]. 2020 [cited Jul 14, 2020];8(1):e48. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7158870/ https://www.ncbi.nlm.nih.gov/pmc/article...
)
|
USA |
Literature review |
Describe the role of PP among patients with COVID-19. |
The prone positioning can contribute to decrease mortality if implemented in the first hours after the manifestation of the disease. |
n/e
|
A9(2020 Lazzeri M, Lanza A, Bellini R, Bellofiore A, Cechetto S, Colombo A, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis. 2020;90(1). doi: https://doi.org/10.4081/monaldi.2020.1285 https://doi.org/10.4081/monaldi.2020.128...
)
|
Spain |
Expert consensus |
Share information regarding the treatment of patients infected with COVID-19. |
The prone position improves the ventilation/perfusion ratio and prognosis. Some complications should be prevented though. |
5b |
A10(2121 Silverthorn RA. Strategies for the Management of Acute Respiratory Distress Syndrome Associated with SARS-CoV-2: A Review of Current Literature. [Internet]. 2020 [cited July 14, 2020]. Available from: https://www.researchgate.net/publication/340793837_Strategies_for_the_Management_of_Acute_Respiratory_Distress_Syndrome_Associated_with_SARS-CoV-2_A_Review_of_ Current_Literature https://www.researchgate.net/publication...
)
|
USA |
Literature review |
Describe the clinical management of respiratory complications caused by COVID-19. |
PP improves the ventilation/perfusion ratio, contributing to decrease mortality rates caused by the novel Coronavirus. |
n/e
|
A11(2222 Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med. 2020;46(5):854-87. doi: https://doi.org/10.1007/s00134-020-06022-5 https://doi.org/10.1007/s00134-020-06022...
)
|
USA |
Literature review |
Disseminate a protocol regarding the clinical management of patients with sepsis caused by SARS-CoV-2. |
The use of a POP is recommended to place patients in the prone position in all institutions. One should be attentive to absolute counter-indications. |
n/e
|
A12(2323 Morales FB, Bermúdez ZV. Guía de cuidados de enfermería para el decúbito prono en Síndrome de Distress Respiratorio Agudo asociado a COVID-19: Revisión Integrativa. Rev Med Costa Rica. [Internet]. 2020 [Acceso 14 jul 2020];85(629):58-67. Disponible en: http://www.revistamedicacr.com/index.php/rmcr/article/view/293/270 http://www.revistamedicacr.com/index.php...
)
|
Costa Rica |
Scoping Review |
Establish a guide for Nursing care provided to patients with COVID-19 in the prone position. |
The prone positioning is an efficient alternative in the treatment of individuals with ARDS caused by COVID-19. Therefore, professional management is essential to provide quality nursing care to decrease complications and adverse events. |
n/e
|