Prone Position in Non-intubated Patients with COVID-19, a Useful Maneuver to Avoid Mechanical Ventilation: A Literature Review
Juárez-Villa Daniel *
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Mora-Ruiz Pablo
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Sáenz-Luna Carlos
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Zavala-Jonguitud Luis
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Olascoaga-Lugo Arturo
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Flores Guillermo
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
Zepeda-Quiroz Iván
Department of Internal Medicine, Division of Medicine, Hospital de Especialidades del Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social, México City, 06720, México.
*Author to whom correspondence should be addressed.
Abstract
The spectrum of coronavirus disease 2019 (COVID-19) ranges from asymptomatic to acute respiratory distress syndrome (ARDS). Prone position has been widely used in ARDS patients with mechanical ventilation and its benefits have been proven. This maneuver can be extrapolated to non-intubated patients with COVID-19, avoiding mechanical ventilation in some patients. Previous reports have demonstrated the benefits of this intervention.
Keywords: Prone position, COVID-19, acute respiratory distress syndrome, SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.