TY  - BOOK
AU  - Ayuyao, Lea Dianne C., MD.
TI  - Outcomes of prone-lateral positioning in COVID-19 confirmed patients : : a retrospective cohort single-center study / 
AV  - MED 2021 0001 
PY  - 2021///
CY  - Fairview, Quezon City
PB  - Department of Internal Medicine, FEU-NRMF
KW  - Covid-19
KW  - ARDS
KW  - acute respiratory distress syndrome
KW  - coronavirus disease
KW  - prone positioning
KW  - lateral positioning
N1  - Includes bibliographical references; RESDM
N2  - Abstract:  Acute Respiratory Distress Syndrome (ARDS) is a life-threatening complication of Covid-19 infection which caused at least five million mortalities globally. In the Philippines, 14% of our cases resulted to serve infections with 5% of these patients requiring intensive care unit admissions which may require intubation and mechanical ventilation (MV). However, due to poor MV/patient ratio in the country, alternative airway managements in ARDS should be explored. Self-proning or Prone-Lateral Positioning is an established maneuver which is said to improve oxygenation in AIDS. In this retrospective study, we collected clinical data in oxygen-requiring Covid-19 confirmed patients and explored the outcomes in those who underwent proning and those who did not. 124 patients admitted from January to August 2021 were oxygen-requiring and 65.2% were advised and tolerated self-proning. The outcomes observed were mortality, number of hospital days, and eventual need for intubation. At the end of the study, we report that there is significantly lower mortality and lesser number of patients requiring advanced airways in the proned group. However, there was no significant difference in the numbers of hospital days and days to death between the proned and unproned groups. It is recommended that future studies focus on a prospective design to effectively observe proper prone-lateral positioning to better assess the effect of the maneuver on oxygenation and to improve patients' ability to tolerate this non-invasive intervention
ER  -