Letters Invited Commentary positioning for mechanically ventilated patients with moder- Prone Positioning in Awake, Nonintubated Patients ate to severe ARDS. With COVID-19: Necessity Is the Mother of Invention Before COVID-19, there was limited published research on In this issue of JAMA Internal Medicine, Thompson and col- prone positioning in nonintubated patients. The COVID-19 leagues report the association of prone positioning with pandemic, however, has led to a sudden and dramatic in- pulse oximetry in 25 awake, nonintubated patients with crease in the number of patients requiring respiratory sup- hypoxemic respiratory failure due to coronavirus disease port for ARDS, straining critical care resources at many hos- 2019 (COVID-19). This study pitals and forcing clinicians to use innovative approaches to included patients who were limit the need for mechanical ventilation, including so-called Related article hypoxemic (oxyhemoglobin awake proning. In a report on 50 nonintubated hypoxemic pa- saturation [SpO ] ≤ 93%) despite receiving 15 L/min oxygen tients with suspected COVID-19 who presented to an emer- by face mask and 6 L/min oxygen by nasal cannula and gency department in New York City, Caputo and colleagues excluded patients who were unable to turn in bed without found a significant increase in SpO
JAMA Internal Medicine – American Medical Association
Published: Jun 17, 2020
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