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Multimed

On-line version ISSN 1028-4818

Abstract

CUBA NARANJO, Arian Jesús; SOSA REMON, Ariel; PEREZ YERO, Yudiel  and  LORIENT ROMERO, David. Prone positioning ventilation in acute respiratory distress in adults due to the SARS CoV-2 virus. Multimed [online]. 2021, vol.25, n.5  Epub Oct 20, 2021. ISSN 1028-4818.

Prone position is a strategy used to improve oxygenation levels in patients with acute respiratory distress syndrome. It is currently used in the prevention of ventilatory deterioration in complications generated by the SARS CoV-2 virus. The objective of this review is to describe updated elements concerning the prone position in patients infected by SARS CoV-2 virus, with and without artificial ventilation. For this purpose, a search was carried out in Google Scholar, PudMed and regional SciELO with reference to research published in the last 10 years. The search was carried out under the terms: prone ventilation/technique/advantages/effect, among others. Sixty-three references that met the inclusion criteria were selected. Current evidence reports an improvement in oxygenation and ventilatory homogeneity with the use of the technique. With positive repercussions in the reduction of the degree of severity, pulmonary recruitment and survival. Fundamentally in patients with refractory hypoxemia secondary to acute respiratory distress. The procedure represents a simple and easy to learn technique, which can also be used in patients without invasive ventilatory support. This advantage makes it possible to avoid orotracheal intubation with its associated risks and complications.

Keywords : prone positioning; acute respiratory distress syndrome; SARS CoV-2; COVID-19; artificial mechanical ventilation; mortality.

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