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Awake proning in patients with COVID-19-related hypoxemic acute respiratory failure: A rapid practice guideline

Myatra, Sheila Nainan (författare)
Tata Mem Hosp, India; Tata Mem Hosp, India
Alhazzani, Waleed (författare)
McMaster Univ, Canada; McMaster Univ, Canada; King Saud Univ, Saudi Arabia; Res Inst St Josephs Healthcare Hamilton, Canada
Belley-Cote, Emilie (författare)
McMaster Univ, Canada; McMaster Univ, Canada; Populat Hlth Res Inst, Canada
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Moller, Morten Hylander (författare)
Copenhagen Univ Hosp Rigshospitalet, Denmark
Arabi, Yaseen M. (författare)
King Saud Bin Abdulaziz Univ Hlth Sci, Saudi Arabia; King Abdullah Int Med Res Ctr, Saudi Arabia; King Abdul Aziz Med City, Saudi Arabia
Chawla, Rajesh (författare)
Indraprastha Apollo Hosp, India
Chew, Michelle S, 1969- (författare)
Linköpings universitet,Avdelningen för klinisk kemi och farmakologi,Medicinska fakulteten,Region Östergötland, ANOPIVA US
Einav, Sharon (författare)
Shaare Zedek Med Ctr, Israel; Hebrew Univ Jerusalem, Israel
Ergan, Begum (författare)
Dokuz Eylul Univ, Turkiye
Kjaer, Maj-Brit Norregaard (författare)
Copenhagen Univ Hosp Rigshospitalet, Denmark
McGloughlin, Steve (författare)
The Alfred, Australia
Nasa, Prashant (författare)
NMC Specialty Hosp, U Arab Emirates; Coll Med & Hlth Sci, U Arab Emirates
Parhar, Ken Kuljit S. (författare)
Alberta Hlth Serv, Canada; Univ Calgary, Canada
Patel, Anil (författare)
Univ Coll London Hosp, England
Piquilloud, Lise (författare)
Univ Hosp, Switzerland; Lausanne Univ, Switzerland
Pisani, Lara (författare)
Univ Bologna, Italy; IRCCS Azienda Osped Univ Bologna, Italy
Scala, Raffaele (författare)
S Donato Hosp, Italy
Tripathy, Swagata (författare)
AIIMS, India
Weatherald, Jason (författare)
Univ Alberta, Canada
Oczkowski, Simon (författare)
McMaster Univ, Canada; McMaster Univ, Canada
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 (creator_code:org_t)
2023-02-09
2023
Engelska.
Ingår i: Acta Anaesthesiologica Scandinavica. - : WILEY. - 0001-5172 .- 1399-6576. ; 67:5, s. 569-575
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Nyckelord

awake proning; COVID; guideline; prone position; respiratory failure

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