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Conscious Proning: An Introduction of a Proning Protocol for Nonintubated, Awake, Hypoxic Emergency Department COVID-19 Patients.
Jiang, Lynn G; LeBaron, Johnathon; Bodnar, David; Caputo, Nicholas D; Chang, Bernard P; Chiricolo, Gerardo; Flores, Stefan; Kenny, James; Melville, Laura; Sayan, Osman R; Sharma, Manish; Shemesh, Amos; Suh, Edward; Farmer, Brenna.
  • Jiang LG; From the, Department of Emergency Medicine, NYP Weill Cornell Medical Center, New York, NY, USA.
  • LeBaron J; the, Department of Emergency Medicine, NYP Queens, Queens, NY, USA.
  • Bodnar D; From the, Department of Emergency Medicine, NYP Weill Cornell Medical Center, New York, NY, USA.
  • Caputo ND; the, Department of Emergency Medicine, NYP Lawrence Hospital, New York, NY, USA.
  • Chang BP; the, Department of Emergency Medicine, NYC Health and Hospitals Lincoln, Bronx, NY, USA.
  • Chiricolo G; and, Department of Emergency Medicine, NYP Columbia University Medical Center, New York, NY, USA.
  • Flores S; and, Department of Emergency Medicine, NYP Brooklyn Methodist, Brooklyn, NY, USA.
  • Kenny J; and, Department of Emergency Medicine, NYP Columbia University Medical Center, New York, NY, USA.
  • Melville L; and, Department of Emergency Medicine, NYP Columbia University Medical Center, New York, NY, USA.
  • Sayan OR; and, Department of Emergency Medicine, NYP Brooklyn Methodist, Brooklyn, NY, USA.
  • Sharma M; and, Department of Emergency Medicine, NYP Columbia University Medical Center, New York, NY, USA.
  • Shemesh A; the, Department of Emergency Medicine, NYP Queens, Queens, NY, USA.
  • Suh E; From the, Department of Emergency Medicine, NYP Weill Cornell Medical Center, New York, NY, USA.
  • Farmer B; and, Department of Emergency Medicine, NYP Columbia University Medical Center, New York, NY, USA.
Acad Emerg Med ; 27(7): 566-569, 2020 07.
Artículo en Inglés | MEDLINE | ID: covidwho-682398
ABSTRACT
The novel coronavirus, or COVID-19, has rapidly become a global pandemic. A major cause of morbidity and mortality due to COVID-19 has been the worsening hypoxia that, if untreated, can progress to acute respiratory distress syndrome (ARDS) and respiratory failure. Past work has found that intubated patients with ARDS experience physiological benefits to the prone position, because it promotes better matching of pulmonary perfusion to ventilation, improved secretion clearance, and recruitment of dependent areas of the lungs. We created a systemwide multi-institutional (New York-Presbyterian Hospital enterprise) protocol for placing awake, nonintubated, emergency department patients with suspected or confirmed COVID-19 in the prone position. In this piece, we describe the background literature and the approach we have taken at our institution as we care for a high burden of COVID-19 cases with respiratory symptoms.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Vigilia / Infecciones por Coronavirus / Estado de Conciencia / Pandemias / Betacoronavirus Tipo de estudio: Estudio pronóstico Tópicos: Covid persistente Límite: Humanos Idioma: Inglés Revista: Acad Emerg Med Asunto de la revista: Medicina de Urgencia Año: 2020 Tipo del documento: Artículo País de afiliación: Acem.14035

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Vigilia / Infecciones por Coronavirus / Estado de Conciencia / Pandemias / Betacoronavirus Tipo de estudio: Estudio pronóstico Tópicos: Covid persistente Límite: Humanos Idioma: Inglés Revista: Acad Emerg Med Asunto de la revista: Medicina de Urgencia Año: 2020 Tipo del documento: Artículo País de afiliación: Acem.14035