1. PRONE POSITION IN PATIENTS WITH EXTRACORPOREAL MEMBRANE OXYGENATION: SERIES OF CASES.
- Author
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Santos Tosti, Nathália Ferreira, Ribeiro Rodrigues, Raelson, dos Santos Gomes, Danilo, Mateus Fernandes, Henrique, and Jomara Lopes, Francine
- Abstract
Objective: to describe the experience of the prone position in patients undergoing extracorporeal membrane oxygenation to manage refractory hypoxemia due to COVID-19, emphasizing complications and the evolution of ventilatory parameters after positioning. Method: medical records from between March/2020 and January/2022 were, retrospectively, analyzed. Seven male patients with a mean age of 57.7 years underwent the interventions and the main comorbidities found were cardiovascular and metabolic diseases. Results: after positioning, weaning from extracorporeal membrane oxygenation was successful and the association proved to be effective in recruiting posterior lung regions, amplifying the viable gas exchange region, with the main complication observed being the development of skin lesions. Conclusion: in the institution's experience, positioning was effective in managing refractory hypoxemia and hypercapnia, enabling weaning from extracorporeal membrane oxygenation. No serious or life-threatening complications were observed, demonstrating the importance of a trained team and well-designed protocols for safe interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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