Rationale and significance of patient selection in awake prone positioning for COVID-19 pneumonia

We read with interest the research letter by N g et al. [1], which described their experience in prone positioning (PP) for awake patients with coronavirus disease 2019 (COVID-19) pneumonia, and concluded that this manoeuvre could delay or reduce the need for intensive care. We agree that the author...

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Published inThe European respiratory journal Vol. 56; no. 3; p. 2002173
Main Authors Huang, Ching-Feng, Tay, Chee Kiang, Zhuang, Ya-Fang, Liu, Jiaxuan, Sewa, Duu Wen
Format Journal Article
LanguageEnglish
Published England European Respiratory Society 01.09.2020
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Agora
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Summary:We read with interest the research letter by N g et al. [1], which described their experience in prone positioning (PP) for awake patients with coronavirus disease 2019 (COVID-19) pneumonia, and concluded that this manoeuvre could delay or reduce the need for intensive care. We agree that the authors demonstrated safety and feasibility of PP in COVID-19 pneumonia patients. However, we humbly suggest a few crucial points be addressed before drawing conclusions on the efficacy of PP. COVID-19 is increasingly recognised to manifest phenotypic diversity in clinical presentation, severity and trajectory. As such, treatment, e.g. awake prone positioning, should be personalised and guided by the primary pathophysiology and immunopathology. https://bit.ly/2ZneHlF
Bibliography:SourceType-Scholarly Journals-1
ObjectType-Correspondence-1
ObjectType-Commentary-2
content type line 23
ISSN:0903-1936
1399-3003
1399-3003
DOI:10.1183/13993003.02173-2020