Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis.

Whittemore, Paul; Macfarlane, Laura; Herbert, Anna; Farrant, John

Whittemore, Paul; Macfarlane, Laura; Herbert, Anna; Farrant, John.

Whittemore P; Respiratory, Apollo ICU Fairfield, Bury, UK paulawh1@doctors.org.uk.
Macfarlane L; Respiratory, Apollo ICU Fairfield, Bury, UK.
Herbert A; Cardiology, Apollo ICU Fairfield, Bury, UK.
Farrant J; Cardiology, Apollo ICU Fairfield, Bury, UK.

BMJ Case Rep ; 13(8)2020 Aug 03.

Article in English | MEDLINE | ID: covidwho-694811

ABSTRACT

ABSTRACT

A 60-year-old man with swab-positive COVID-19 and extensive ground-glass change seen on CT imaging was successfully managed on our COVID-19 high-dependency unit with only low-flow oxygen and strict awake proning instructions. He was successfully weaned off oxygen entirely without any requirement for non-invasive or invasive ventilation and made a recovery to be discharged home after an 18-day hospital stay.

Subject(s)

Coronavirus Infections; Enoxaparin/administration & dosage; Hypoxia; Oxygen Inhalation Therapy/methods; Pandemics; Pneumonia, Viral; Prone Position; Anticoagulants/administration & dosage; Betacoronavirus/isolation & purification; COVID-19; Chemoprevention/methods; Computed Tomography Angiography/methods; Coronavirus Infections/diagnosis; Coronavirus Infections/physiopathology; Coronavirus Infections/therapy; Dyspnea/diagnosis; Dyspnea/etiology; Echocardiography/methods; Humans; Hypoxia/diagnosis; Hypoxia/etiology; Hypoxia/therapy; Intensive Care Units; Lung/diagnostic imaging; Male; Middle Aged; Pneumonia, Viral/diagnosis; Pneumonia, Viral/physiopathology; Pneumonia, Viral/therapy; Pulmonary Embolism/prevention & control; SARS-CoV-2; Tomography, X-Ray Computed/methods; Treatment Outcome

Keywords

adult intensive care; mechanical ventilation; respiratory medicine

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Oxygen Inhalation Therapy / Pneumonia, Viral / Prone Position / Enoxaparin / Coronavirus Infections / Pandemics / Hypoxia Type of study: Case report / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans / Male / Middle aged Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-236586

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