Awake prone positioning for patients with COVID-19-induced acute hypoxemic respiratory failure

Perez, Yonatan; Luo, Jian; Ibarra‐Estrada, Miguel; Li, Jie; Ehrmann, Stéphan

doi:10.1016/j.jointm.2022.07.003

Cited by 1 publication

(1 citation statement)

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“…The nursing of pregnant women with COVID-19 and moderate to severe hypoxaemia, respiratory failure, and ARDS in the prone position, hitherto thought to be detrimental, has been shown to reduce the need for and the duration of intubation and mechanical ventilation and mortality [ 39 , 40 ]. Consideration should be given to appropriate padding to offset the gravid uterus and prevent aortocaval compression [ 41 ].…”

Section: Care Of the Covid Positive Mothersmentioning

confidence: 99%

Managing Labour in Women with COVID-19

Chilaka

Navti

Opoku.

et al. 2023

JCM

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Since first reported in December 2019 in Wuhan, China, COVID-19 caused by Severe Acute Respiratory Syndrome (SARS) Corona virus2 (SARS CoV-2) quickly spread to become a pandemic that has caused significant morbidity and mortality. The rapidity of the spread of the virus and the high mortality at the outset threatened to overwhelm health systems worldwide, and, indeed, this significantly impacted maternal health, especially since there was minimal experience to draw from. Experience with Covid 19 has grown exponentially as the unique needs of pregnant and labouring women with COVID-19 infection have become more evident. Managing COVID-19 parturients requires a multidisciplinary team consisting of anaesthesiologists, obstetricians, neonatologists, nursing staff, critical care staff, infectious disease and infection control experts. There should be a clear policy on triaging patients depending on the severity of their condition and the stage of labour. Those at high risk of respiratory failure should be managed in a tertiary referral centre with facilities for intensive care and assisted respiration. Staff and patients in delivery suites and operating rooms should be protected by enforcing infection protection principles such as offering dedicated rooms and theatres to SARS CoV-2 positive patients and using personal protective equipment. All hospital staff must be trained in infection control measures which should be updated regularly. Breastfeeding and care of the new-born must be part of the healthcare package offered to COVID-19 parturient mothers.

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Section: Care Of the Covid Positive Mothersmentioning

confidence: 99%