Prone Position

Prolonged prone position ventilation for 24 hours or more was linked to less death at 30 and 90 days in COVID-19 patients on mechanical ventilation, according to study results published in CHEST.

Awake prone positioning lowered the risk for endotracheal intubation but not for mortality compared with usual care among patients with hypoxemic respiratory failure from COVID-19, according to a study published in The BMJ.

Hospital support and leadership from bedside clinicians were the primary facilitators for successful implementation of prone positioning for COVID-19 acute respiratory distress syndrome, researchers reported.

Smartphone-guided recommendations and instructions for self-prone positioning failed to promote adherence among nonintubated patients with COVID-19, according to findings published in Chest.

SAN FRANCISCO — Awake prone positioning did not reduce endotracheal intubation at 30 days compared with usual care in patients with acute hypoxemic respiratory failure from COVID-19, according to results of the COVI-PRONE trial.

Awake prone positioning reduced intubation risk and hospital length of stay for patients with COVID-19 requiring oxygen through high-flow nasal cannula, according to results of the PROCARF trial.

Awake prone positioning early after hospital admission significantly reduced the need for mechanical ventilation among patients with hypoxemic respiratory failure due to COVID-19, researchers reported.

Use of prone positioning is feasible and may yield improvements in some patients with COVID-19 who are receiving noninvasive respiratory support, according to two research letters published in JAMA.

Published results showed patients who underwent prone single-position extreme lateral interbody fusion had comparable clinical results to the standard, lateral decubitus position with a reduction in overall surgical time.

In patients with acute respiratory distress syndrome, personalizing mechanical ventilation based on lung morphology did not decrease mortality at 90 days, according to data published in The Lancet Respiratory Medicine.