Awake prone position reduces work of breathing in patients with COVID-19 ARDS supported by CPAP.

ABSTRACT:

Background

The use of awake prone position concomitant to non-invasive mechanical ventilation in acute respiratory distress syndrome (ARDS) secondary to COVID-19 has shown to improve gas exchange, whereas its effect on the work of breathing remain unclear. The objective of this study was to evaluate the effects of awake prone position during helmet continuous positive airway pressure (CPAP) ventilation on inspiratory effort, gas exchange and comfort of breathing.

Methods

Forty consecutive patients presenting with ARDS due to COVID-19 were prospectively enrolled. Gas exchange, esophageal pressure swing (ΔPes), dynamic transpulmonary pressure (dTPP), modified pressure time product (mPTP), work of breathing (WOB) and comfort of breathing, were recorded on supine position and af

SUBMITTER: Chiumello D 

PROVIDER: S-EPMC8686083 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature