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Diagnostic Assessment of Respiratory and Hemodynamic Changes Related to Prone Position in COVID-19 Patients.
- Source :
-
Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2023 Sep 01; Vol. 17, pp. e475. Date of Electronic Publication: 2023 Sep 01. - Publication Year :
- 2023
-
Abstract
- Objective: To study the respiratory patterns and the hemodynamic variations related to postural changes in inpatients with coronavirus disease (COVID-19).<br />Methods: This report is a prospective study in a cohort of inpatients admitted with COVID-19. We recruited 10 patients admitted to the hospital with moderate or severe COVID-19 who showed improvement in oxygen saturation with prone positioning. We performed cardiorespiratory polygraphy and hemodynamic evaluations by thoracic electrical bioimpedance.<br />Results: We observed a median minimum oxygen saturation of 85.00% (IQR: 7.00) in the supine position versus 91.00% (IQR: 8.00) ( P = 0.173) in the prone position. The airflow restriction in the supine position was 2.70% (IQR: 6.55) versus 1.55% (IQR: 2.80) ( P = 0.383) in the prone position. A total of 36.4% of patients were classified as having a normo-hemodynamic state in the supine position, whereas 54.5% were classified in this group in the prone position ( P = 0.668). A decrease in vascular resistance was observed in the prone position (18.2% of vasoconstriction) compared to the supine position (36.4% of vasoconstriction) ( P = 0.871).<br />Conclusion: This brief report describes the effects of prone positioning on respiratory and hemodynamic variables in 10 patients with moderate or severe COVID-19.
Details
- Language :
- English
- ISSN :
- 1938-744X
- Volume :
- 17
- Database :
- MEDLINE
- Journal :
- Disaster medicine and public health preparedness
- Publication Type :
- Academic Journal
- Accession number :
- 37655396
- Full Text :
- https://doi.org/10.1017/dmp.2023.152