06-18-2020, 08:53 AM
Having patients lie face down (prone) has been talked about in the past as a way to prevent patients from needing to be intubated and placed on a mechanical ventilator. This is the first (small) study I've seen:
https://jamanetwork.com/journals/jamaint...le/2767575
The data looks significant.
![[Image: ild200042f1.png?Expires=2147483647&Signa...RDK6RD3PGA]](https://cdn.jamanetwork.com/ama/content_public/journal/intemed/0/ild200042f1.png?Expires=2147483647&Signature=oj3zDvbBVadEshWbzExysMqgkii-DdtHD6Rrd-aIN2AUcEe-GVMSX4xp5lz2JmZJFOrQCRtPqZDEZUUU74wVWsS4KdZ9~vUAINlxBlLkk~Moc3-nR8UhMcA311M8mZ9ukYnYZeuWXlle0ipkITJR27YC0cXZB7ivh0UryiD~JvRUa7VZVyhXfgoBNKTapFzJ8gOfxuRnUUO8K079jc8Ed0X1j2qhbJUpPmHRBgiDuyNRL-zi~AbNYdowj6taX3bHcmsosI2fJI0dQ94Mph3NPpqAx97f7b8S23BZX7b0t3HhEHkS8luFA2IMNpyF08hbK~~Is4~cnopB7GhuMM5GcQ__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA)
However, there are a number of issues. There was no comparator group, so you don't know what would have happened to patients who stayed supine (face up). Also, they were quick to intubate patients (using a fairly high threshold of 95%). And obviously we have no long-term data; this is not useful if 30 minutes later, oxygen levels tank. But still, this is a promising measure that I'd like to see researched a bit more closely.
BC
https://jamanetwork.com/journals/jamaint...le/2767575
The data looks significant.
![[Image: ild200042f1.png?Expires=2147483647&Signa...RDK6RD3PGA]](https://cdn.jamanetwork.com/ama/content_public/journal/intemed/0/ild200042f1.png?Expires=2147483647&Signature=oj3zDvbBVadEshWbzExysMqgkii-DdtHD6Rrd-aIN2AUcEe-GVMSX4xp5lz2JmZJFOrQCRtPqZDEZUUU74wVWsS4KdZ9~vUAINlxBlLkk~Moc3-nR8UhMcA311M8mZ9ukYnYZeuWXlle0ipkITJR27YC0cXZB7ivh0UryiD~JvRUa7VZVyhXfgoBNKTapFzJ8gOfxuRnUUO8K079jc8Ed0X1j2qhbJUpPmHRBgiDuyNRL-zi~AbNYdowj6taX3bHcmsosI2fJI0dQ94Mph3NPpqAx97f7b8S23BZX7b0t3HhEHkS8luFA2IMNpyF08hbK~~Is4~cnopB7GhuMM5GcQ__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA)
However, there are a number of issues. There was no comparator group, so you don't know what would have happened to patients who stayed supine (face up). Also, they were quick to intubate patients (using a fairly high threshold of 95%). And obviously we have no long-term data; this is not useful if 30 minutes later, oxygen levels tank. But still, this is a promising measure that I'd like to see researched a bit more closely.
BC
