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Prone position combined with high-flow nasal oxygen could benefit spontaneously breathing, severe COVID-19 patients: A case report.

Authors :
Xu DW
Li GL
Zhang JH
He F
Source :
World journal of clinical cases [World J Clin Cases] 2021 Jun 16; Vol. 9 (17), pp. 4381-4387.
Publication Year :
2021

Abstract

Background: Since the outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China in December 2019, the overall fatality rate of severe and critical patients with COVID-19 is high and the effective therapy is limited.<br />Case Summary: In this case report, we describe a case of the successful combination of the prone position (PP) and high-flow nasal oxygen (HFNO) therapy in a spontaneously breathing, severe COVID-19 patient who presented with fever, fatigue and hypoxemia and was diagnosed by positive throat swab COVID-19 RNA testing. The therapy significantly improved the patient's clinical symptoms, oxygenation status, and radiological characteristics of lung injury during hospitalization, and the patient showed good tolerance and avoided intubation. Additionally, we did not find that medical staff wearing optimal airborne personal protective equipment (PPE) were infected by the new coronavirus in our institution.<br />Conclusion: We conclude that the combination of PP and HFNO could benefit spontaneously breathing, severe COVID-19 patients. The therapy does not increase risk of healthcare workers wearing optimal airborne PPE to become infected with virus particles.<br />Competing Interests: Conflict-of-interest statement: All authors have declared that no competing interests exist.<br /> (©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.)

Details

Language :
English
ISSN :
2307-8960
Volume :
9
Issue :
17
Database :
MEDLINE
Journal :
World journal of clinical cases
Publication Type :
Academic Journal
Accession number :
34141804
Full Text :
https://doi.org/10.12998/wjcc.v9.i17.4381