About: A primer on proning in the emergency department

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	A primer on proning in the emergency department
Creator	Johnson, Nicholas Dyer, Sean Mcgurk, Kevin Riveros, Toni
source	Medline; PMC
abstract	Historically, the prone position was used almost exclusively in the ICU for patients suffering from refractory hypoxemia due to acute respiratory distress syndrome (ARDS). Amidst the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic, however, this technique has been increasingly utilized in settings outside of the ICU, particularly in the emergency department. With emerging evidence that patients diagnosed with COVID‐19 who are not intubated and mechanically ventilated may benefit from the prone position, this strategy should not be isolated to only those with critical illness. This is a review of the pertinent physiology and evidence supporting prone positioning along with a step‐by‐step guide meant to familiarize those who are not already comfortable with the maneuver. Placing a patient in the prone position helps to improve ventilation‐perfusion matching, dorsal lung recruitment, and ultimately gas exchange. Evidence also suggests there is improved oxygenation in both mechanically ventilated patients and those who are awake and spontaneously breathing, further reinforcing the utility of the prone position in non‐ICU settings. Given present concerns about resource limitations because of the pandemic, prone positioning has especially demonstrable value as a technique to delay or even prevent intubation. Patients who are able to self‐prone should be directed into the ''swimmer's position'' and then placed in reverse Trendelenburg position if further oxygenation is needed. If a mechanically ventilated patient is to be placed in the prone position, specific precautions should be taken to ensure the patient's safety and to prevent any unwanted sequelae of prone positioning.
has issue date	2020-07-04(xsd:dateTime)
bibo:doi	10.1002/emp2.12175
bibo:pmid	32838382
has license	cc-by-nc-nd
sha1sum (hex)	25de3427e5ebe3f3d6e8b58aede6b4d2d52c4ce6
schema:url	https://doi.org/10.1002/emp2.12175
resource representing a document's title	A primer on proning in the emergency department
has PubMed Central identifier	PMC7361258
has PubMed identifier	32838382
schema:publication	J Am Coll Emerg Physicians Open
resource representing a document's body	covid:25de3427e5ebe3f3d6e8b58aede6b4d2d52c4ce6#body_text
is schema:about of	named entity 'suffering' named entity 'SUFFERING' named entity 'refractory' named entity 'prone position' named entity 'ICU' named entity 'refractory' named entity 'ARDS' named entity 'chest radiograph' named entity 'lung tissue' named entity 'supine position' named entity 'supine' named entity 'supine position' named entity 'acute respiratory distress syndrome' named entity 'FRC' named entity 'cubital tunnel' named entity 'edema' named entity 'positive end-expiratory pressure' named entity 'ventral' named entity 'lateral' named entity 'ICUs' named entity 'bronchiolitis' named entity 'ARDS' named entity 'abdomen' named entity 'resuscitation' named entity 'FRC' named entity 'imaging studies' named entity 'ARDS' named entity 'lung parenchyma' named entity 'alveoli' named entity 'alveoli' named entity 'functional residual capacity' named entity 'emergency physicians' named entity 'partial pressure of arterial oxygen' named entity 'lung physiology' named entity 'lung tissue' named entity 'ARDS' named entity 'alveolar' named entity 'anatomical' named entity 'ventral' named entity 'Trendelenburg' named entity 'critical illness' named entity 'hypoxemia' named entity 'central venous' named entity 'gas exchange' named entity 'lung injury' named entity 'proning' named entity 'proning' named entity 'lung parenchyma' named entity 'computed tomography' named entity 'pelvis' named entity 'ARDS' named entity 'supine' named entity 'prone position' named entity 'medical devices' named entity 'mechanically ventilated' named entity 'coronavirus disease 2019' named entity 'normal conditions' named entity 'hypoxemia' named entity 'fraction of inspired oxygen' named entity 'dorsal regions' named entity 'Perfusion' named entity 'ARDS' named entity 'lung disease' named entity 'intubated' named entity 'necrosis' named entity 'Etiology' named entity 'edema' named entity 'COVID' named entity 'fluid overload' named entity 'dorsal regions' named entity 'COVID-19 pandemic' named entity 'alveoli' named entity 'breast tissue' named entity 'ventral' named entity 'alveolar' named entity 'thorax' named entity 'lung' named entity 'tidal volume'

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