■俯卧定位是一种体位肺募集动作,已被广泛研究,涉及心肺系统的益处和生理变化。然而,俯卧定位对于患者来说不是很舒适,因为当氧疗和其他监测设备仍然附接时,他们必须躺在肚子上一段时间。根据病人的观察,一些病人会改变更舒适的姿势,即使用右/左侧卧位。这项研究的目的是检查被诊断为严重COVID-19的非插管患者俯卧位和侧卧位的生理影响。
这是一项前瞻性队列研究,对象是2021年6月1日至9月10日在大学医院获得非再呼吸面罩或高流量鼻插管的严重COVID-19患者。该研究共持续了2021天,涉及48名患者。患者每天早晨和下午假定俯卧位或侧卧位,持续4小时,并进行心肺参数和血气分析。据报道,它符合STROCSS标准。
■重症COVID-19患者接受常规氧疗(通过非再呼吸面罩)或高流量鼻插管的俯卧位和侧卧位患者的心肺参数和血气分析参数的动态变化没有显着差异。
■在未插管的严重COVID-19患者中,俯卧位和侧卧位的生理作用相似。因此,侧卧位可作为体位性肺复张术的替代方法,需要进一步的随机试验.
UNASSIGNED: Prone positioning is one type of postural lung recruitment manoeuvre that has been widely studied regarding the benefits and physiological changes of the cardiorespiratory system. However, prone positioning is not very comfortable for the patients because they have to lie on their stomachs for a while when the oxygen therapy and other monitoring devices are still attached. Based on patient observations, some patients will change to more comfortable positions, namely using the right/left lateral decubitus position. The purpose of this research was to examine the physiological impact of prone and lateral decubitus position in non-intubated patients who were diagnosed with severe COVID-19.
UNASSIGNED: It was a prospective cohort study in subsequent people with severe COVID-19 who obtained a non-rebreathing mask or high-flow nasal cannula at a University Hospital between 1 June and 10 September 2021. The study lasted for a total of 2021 days and involved 48 patients. The patients assumed the prone positioning or lateral decubitus every morning and afternoon for 4 h and were measured for cardiorespiratory parameters and blood gas analysis. It has been reported in line with the STROCSS criteria.
UNASSIGNED: Dynamic changes based on cardiorespiratory parameters and blood gas analysis parameters in patients with prone and lateral decubitus position in patients with severe COVID-19 receiving conventional oxygen therapy (via non-rebreathing mask) or high-flow nasal cannula did not show any significant difference.
UNASSIGNED: The physiological effect of prone positioning and lateral decubitus in non-intubated patients with severe COVID-19 are similar. Accordingly, lateral decubitus can be an alternative for postural lung recruitment manoeuvres and warrants further randomized trials.