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01-12-2021 | COVID-19 | Letter

Awake prone positioning on diaphragmatic function: Really bad or maybe good?

Authors: Basang Xiao, Yuntao Zhang, Zhuoga Ci, Dandan Shi, Hangyong He

Published in: Critical Care | Issue 1/2021

Excerpt

We read with great interest of the report by Cammarota et al. [1] about the effect of awake prone positioning (APP) on respiratory muscles’ workload among COVID-19 patients with acute hypoxemic respiratory failure (ARF) while receiving noninvasive ventilation (NIV) support. They found that the application of APP in COVID-19 patients assisted by NIV in ICU improved the oxygenation at the expense of a greater diaphragmatic thickening fraction compared to supine position. However, whether APP really acts as a negative or a positive factor for diaphragmatic function is controversial, and we would like to add some comments. …

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Kaur R, Vines DL, Mirza S, Elshafei A, Jackson JA, Harnois LJ, Weiss T, Scott JB, Trump MW, Mogri I, et al. Early versus late awake prone positioning in non-intubated patients with COVID-19. Crit Care. 2021;25(1):340.CrossRef

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Yoshida T, Tanaka A, Roland R, Quispe R, Taenaka H, Uchiyama A, et al. Prone position reduces spontaneous inspiratory effort in patients with acute respiratory distress syndrome: a bicenter study. Am J Respir Crit Care Med. 2021;203:1437–40.CrossRef

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Title: Awake prone positioning on diaphragmatic function: Really bad or maybe good?
Authors: Basang Xiao
Yuntao Zhang
Zhuoga Ci
Dandan Shi
Hangyong He
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: COVID-19
Published in: Critical Care / Issue 1/2021
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/s13054-021-03866-1

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