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Awake proning in pa...
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Myatra, Sheila NainanTata Mem Hosp, India; Tata Mem Hosp, India
(author)
Awake proning in patients with COVID-19-related hypoxemic acute respiratory failure: A rapid practice guideline
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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2023-02-09
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WILEY,2023
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-193142
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-193142URI
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https://doi.org/10.1111/aas.14205DOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|Fisher & Paykel Healthcare
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This rapid practice guideline provides evidence-based recommendations for the use of awake proning in adult patients with acute hypoxemic respiratory failure due to COVID-19. The panel included 20 experts from 12 countries, including one patient representative, and used a strict conflict of interest policy for potential financial and intellectual conflicts of interest. Methodological support was provided by the guidelines in intensive care, development, and evaluation (GUIDE) group. Based on an updated systematic review, and the grading of recommendations, assessment, development, and evaluation (GRADE) method we evaluated the certainty of evidence and developed recommendations using the Evidence-to-Decision framework. We conducted an electronic vote, requiring >80% agreement amongst the panel for a recommendation to be adopted. The panel made a strong recommendation for a trial of awake proning in adult patients with COVID-19 related hypoxemic acute respiratory failure who are not invasively ventilated. Awake proning appears to reduce the risk of tracheal intubation, although it may not reduce mortality. The panel judged that most patients would want a trial of awake proning, although this may not be feasible in some patients and some patients may not tolerate it. However, given the high risk of clinical deterioration amongst these patients, awake proning should be conducted in an area where patients can be monitored by staff experienced in rapidly detecting and managing clinical deterioration. This RPG panel recommends a trial of awake prone positioning in patients with acute hypoxemic respiratory failure due to COVID-19.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Alhazzani, WaleedMcMaster Univ, Canada; McMaster Univ, Canada; King Saud Univ, Saudi Arabia; Res Inst St Josephs Healthcare Hamilton, Canada
(author)
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Belley-Cote, EmilieMcMaster Univ, Canada; McMaster Univ, Canada; Populat Hlth Res Inst, Canada
(author)
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Moller, Morten HylanderCopenhagen Univ Hosp Rigshospitalet, Denmark
(author)
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Arabi, Yaseen M.King Saud Bin Abdulaziz Univ Hlth Sci, Saudi Arabia; King Abdullah Int Med Res Ctr, Saudi Arabia; King Abdul Aziz Med City, Saudi Arabia
(author)
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Chawla, RajeshIndraprastha Apollo Hosp, India
(author)
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Chew, Michelle S,1969-Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US(Swepub:liu)micch61
(author)
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Einav, SharonShaare Zedek Med Ctr, Israel; Hebrew Univ Jerusalem, Israel
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Ergan, BegumDokuz Eylul Univ, Turkiye
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Kjaer, Maj-Brit NorregaardCopenhagen Univ Hosp Rigshospitalet, Denmark
(author)
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McGloughlin, SteveThe Alfred, Australia
(author)
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Nasa, PrashantNMC Specialty Hosp, U Arab Emirates; Coll Med & Hlth Sci, U Arab Emirates
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Parhar, Ken Kuljit S.Alberta Hlth Serv, Canada; Univ Calgary, Canada
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Patel, AnilUniv Coll London Hosp, England
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Piquilloud, LiseUniv Hosp, Switzerland; Lausanne Univ, Switzerland
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Pisani, LaraUniv Bologna, Italy; IRCCS Azienda Osped Univ Bologna, Italy
(author)
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Scala, RaffaeleS Donato Hosp, Italy
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Tripathy, SwagataAIIMS, India
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Weatherald, JasonUniv Alberta, Canada
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Oczkowski, SimonMcMaster Univ, Canada; McMaster Univ, Canada
(author)
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Tata Mem Hosp, India; Tata Mem Hosp, IndiaMcMaster Univ, Canada; McMaster Univ, Canada; King Saud Univ, Saudi Arabia; Res Inst St Josephs Healthcare Hamilton, Canada
(creator_code:org_t)
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In:Acta Anaesthesiologica Scandinavica: WILEY67:5, s. 569-5750001-51721399-6576
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