Prone position in patients admitted to the Intensive Care Unit with a diagnosis of COVID-19
DOI:
https://doi.org/10.21615/cesenferm.7316Keywords:
COVID 19, SARS-CoV-2 Infection, PronationAbstract
Objective: To characterize prone position therapy and its main complications in patients admitted to an Intensive Care Unit with a diagnosis of COVID-19. Method: a cross-sectional observational study. Based on clinical records of 386 patients diagnosed with COVID-19 admitted to an Intensive Care Unit (ICU) of the third level of complexity in March 2020-March 2021. Clinical characteristics on admission to the ICU, variables related to pronation, complications in pronated patients. Research approved by the ethics committee. Results: Most of the patients admitted to the ICU for COVID-19 were men, with an average age of 61 years and an average weight of 77 kg. Almost half were admitted with high blood pressure. The average value of respiratory rate was 24 per minute and oximetry 92.8%. 58% received prone position therapy. The maximum number of cycles was 14, with an average duration of 21 hours. 60.6% presented one or more complications after pronation. Conclusion: Pronation is an intervention that improves oxygenation indices in patients with respiratory failure due to COVID-19 or another etiology. Despite its benefits, it is not without risks, among which the high prevalence of skin lesions stands out. This may be influenced by the context of the pandemic, which leads to a more significant burden on health systems and permeates the provision of health services.
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