Prone Positioning in Patients with COVID - 19 to Increase Effectiveness of Lung Oxygenation: Non-intubated Adults and Older Persons
Keywords:
prone position, non-invasive ventilation, patients with COVID-19, pneumoniaAbstract
All countries in the world, including Thailand, have been facing with impacts of Corona Virus Disease 2019 (COVID-19) pandemic. When patients are admitted to health care settings, there are important guidelines in the treatment of pneumonia caused by this infection, which often leads to acute hypoxemia and subsequent respiratory failure. This resulted from decreased lung flexibility and reduced oxygen perfusion.
In epidemic situations and the number of patients exceeds the capacity of the intensive care unit, which providing care of patients using mechanical ventilators. Therefore, provision of care for some patients with moderate respiratory problems without intubation and mechanical ventilators in intermediate care unit, using prone positioning and high flow oxygenation, is considered to be an effective treatment to assist patient respiration. This article brings together nursing knowledge related to positioning to enhance oxygen perfusion and gas exchange, aswell as experienceof caringforadult andolderpatientswith COVID-19 infection,which will be beneficial to practitioners and those interested in applying this knowledge for patient care.
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