Effects of a Chair Positioning Session on Awake Non-Intubated COVID-19 Pneumonia Patients: A Multicenter, Observational, and Pilot Study Using Lung Ultrasound.
J Clin Med
; 11(19)2022 Oct 05.
Article
in English
| MEDLINE | ID: covidwho-2066195
ABSTRACT
BACKGROUND:
LUS is a validated tool for the management of COVID-19 pneumonia. Chair positioning (CP) may have beneficial effects on oxygenation and lung aeration, and may be an easier alternative to PP. This study assessed the effects of a CP session on oxygenation and lung aeration (LA) changes in non-intubated COVID-19 patients.METHODS:
A retrospective multicenter study was conducted in an ICU. We analyzed data from LUS exams and SpO2FiO2 performed before/after a CP session in non-intubated COVID-19 patients. Patients were divided into groups of responders or non-responders in terms of oxygenation or LA.RESULTS:
Thirty-three patients were included in the study; fourteen (44%) were oxygenation non-responders and eighteen (56%) were oxygenation responders, while thirteen (40.6%) and nineteen (59.4%) patients were classified as LA non-responders and responders, respectively. Changes in oxygenation and LA before/after a CP session were not correlated (r = -0.19, p = 0.3, 95% CI -0.5-0.17). The reaeration scores did not differ between oxygenation responders and non-responders (1 (-0.75-3.75) vs. 4 (-1-6), p = 0.41). The LUS score was significantly correlated with SpO2FiO2 before a CP session (r = 0.37, p = 0.04, 95% CI 0.03-0.64) but not after (r = 0.17, p = 0.35, 95% CI -0.19-0.50).CONCLUSION:
A CP session was associated with improved oxygenation and LA in more than half of the non-intubated COVID-19 patients.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Language:
English
Year:
2022
Document Type:
Article
Affiliation country:
Jcm11195885
Similar
MEDLINE
...
LILACS
LIS