The physiological effect of prone positioning and lateral decubitus in non-intubated patients with severe COVID-19: a prospective cohort study

Siswanto, Oktaviarum Slamet and Utama, Oktaviarum Slamet and Adistyawan, Guritno and Sujalmo, Purwadi and Tunggadewi, Gusti Putri Devany and Shafa, Primavera Nabila and Rohman, Taufiq and Agustiningsih, Denny (2023) The physiological effect of prone positioning and lateral decubitus in non-intubated patients with severe COVID-19: a prospective cohort study. ANNALS OF MEDICINE AND SURGERY, 85 (11). pp. 5359-5364. ISSN 2049-0801

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Abstract

Introduction: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.Methods: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.Results: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.Conclusion: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.

Item Type: Article
Uncontrolled Keywords: COVID-19; lateral decubitus; physiological effect; postural lung recruitment manoeuvre; prone positioning
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine, Public Health and Nursing > Biomedical Sciences
Depositing User: Ani PURWANDARI
Date Deposited: 23 Aug 2024 02:31
Last Modified: 23 Aug 2024 02:31
URI: https://ir.lib.ugm.ac.id/id/eprint/3583

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