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Feasibility and Limitations of Proning Protocol for Nonintubated Patients With COVID-19.
Shoults, Benjamin; Barber, Mary; Millham, Lucia; Mulla, Maaz; Nanji, Natasha; Steele, Grant; Peck, Tyler; Smithedajkul, Patrick; Worsham, Christopher; Currier, Paul; Raphaely, Rebecca A.
  • Shoults B; Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, USA.
  • Barber M; Harvard Medical School, Boston, MA, USA.
  • Millham L; Harvard Medical School, Boston, MA, USA.
  • Mulla M; Harvard Medical School, Boston, MA, USA.
  • Nanji N; Harvard School of Dental Medicine, Boston, MA, USA.
  • Steele G; Harvard Medical School, Boston, MA, USA.
  • Peck T; Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, USA.
  • Smithedajkul P; Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
  • Worsham C; Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, USA.
  • Currier P; Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, USA.
  • Raphaely RA; Pulmonary and Critical Care, Massachusetts General Hospital, Boston, MA, USA.
J Patient Exp ; 8: 2374373520981486, 2021.
Article in English | MEDLINE | ID: covidwho-1228964
ABSTRACT
Proning awake patients with COVID-19 is associated with lower mortality and intubation rates. However, these studies also demonstrate low participation rates and tolerance of awake proning. In this study, we attempt to understand barriers to proning. Medical and dental students surveyed nonintubated patients to understand factors affecting adherence to a proning protocol. Only patients who discussed proning with their medical team attempted the practice. Eight of nine patients who were informed about benefits of proning attempted the maneuver. Discomfort was the primary reason patients stopped proning. Addressing discomfort and implementing systematic patient education may increase adherence to proning.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide Language: English Journal: J Patient Exp Year: 2021 Document Type: Article Affiliation country: 2374373520981486

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Clinical Practice Guide Language: English Journal: J Patient Exp Year: 2021 Document Type: Article Affiliation country: 2374373520981486