Perception of Health Professionals on the prone position as a therapeutic strategy for patients with COVID-19

Authors

  • Natiele Camponogara Righi Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre. RS. BrasilPorto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0001-7621-7204
  • Rodrigo Della Méa Plentz Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-2662-8192
  • Pâmela Thaise Rosa de Marchi Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil. https://orcid.org/0000-0002-9753-5663
  • Kaciane Roberta Brambatti Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-1273-7531
  • Andrieli Barbieri Garlet Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0003-2399-5867
  • Jean Mesquita Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0002-0913-5687
  • Andrea Passuelo Oliveira Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0001-5887-8789
  • Jociane Schardong Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Porto Alegre, Rio Grande do Sul, Brasil https://orcid.org/0000-0003-3635-8541

DOI:

https://doi.org/10.1590/1809-2950/21021229022022EN

Keywords:

Covid-19, Prone Position, Mortality, Observational Study

Abstract

The COVID-19 pandemic has led to a great number of hospital admissions. A considerable number of cases progress to the severe form of the disease and death. The prone position maneuver is a therapeutic strategy with strong evidence of reduced mortality in patients with acute respiratory distress syndrome (ARDS). The purpose of this study was to verify whether the prone position maneuver is used by health care professionals in the hospital to treat patients with COVID-19 on invasive mechanical ventilation and their perception of its impact on the mortality rate. This was a cross-sectional study, with a convenience sample composed of health professionals of both sexes, working in hospitals throughout Brazil. Participants answered an online questionnaire, consisting of 16 questions, using GoogleForms, from July to September 2020. Four hundred and fifty-five questionnaires were answered. The prone position maneuver is routinely performed in hospitals where 386 (95%) of the responding professionals work. Among them, 374 (96.9%) consider that the prone position maneuver reduces hypoxemia, and 289 (74.9%) reckon that it reduces the mortality of patients on invasive mechanical ventilation, with COVID-19 and ARDS. Lastly, most health professionals working in Brazilian hospitals perform and believe that the prone position maneuver reduces hypoxemia and mortality in patients on invasive mechanical ventilation, with COVID-19.

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References

Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Heal. 2020;25(3):278–80. DOI: 10.1111/tmi.13383.

Sweeney R Mac, McAuley DF. Acute respiratory distress syndrome. Lancet. 2016;388:2416–30. DOI: 10.1016/j.mpaic.2013.07.008.

Confalonieri M, Salton F, Fabiano F. Acute respiratory distress syndrome. Eur Respir Rev. 2017;26(160116):1–7. DOI: 10.1183/16000617.0116-2016.

Papazian L, Aubron C, Brochard L, Chiche JD, Combes A, Dreyfuss D, et al. Formal guidelines: management of acute respiratory distress syndrome. Ann Intensive Care. 2019;9(1). DOI: 10.1186/s13613-019-0540-9.

Munshi L, Del Sorbo L, Adhikari NKJ, Hodgson CL, Wunsch H, Meade MO, et al. Prone Position for Acute Respiratory Distress Syndrome A Systematic Review and Meta-Analysis. AnnalsATS. 2017;14. DOI: 10.1513/AnnalsATS.201704-343OT.

Koulouras V, Papathanakos G, Papathanasiou A, Nakos G. Efficacy of prone position in acute respiratory distress syndrome patients: A pathophysiology-based review. World J Crit Care Med. 2016;5(2):121–36. DOI: 10.5492/wjccm.v5.i2.121.

Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159–68. DOI: 10.1056/NEJMoa1214103.

Coppo A, Bellani G, Winterton D, Pierro M Di, Soria A, Faverio P, et al. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med. 2020;8:765–74. DOI: 10.1016/ S2213-2600(20)30268-X.

Solverson K, Weatherald J, Parhar KKS. Tolerability and safety of awake prone positioning COVID-19 patients with severe hypoxemic respiratory failure. Can J Anesth. 2020;1–7. DOI: 10.1007/s12630-020-01787-1.

Elharrar X, Trigui Y, Dols AM, Touchon F, Martinez S, Prud’Homme E, et al. Use of Prone Positioning in Nonintubated Patients with COVID-19 and Hypoxemic Acute Respiratory Failure. JAMA. 2020;323(22):2336–8. DOI: 10.1001/jama.2020.8255.

Ghelichkhani P, Esmaeili M. Prone Position in Management of COVID-19 Patients; a Commentary. Arch Acad Emerg Med. 2020;8(1):e48. DOI: 10.22037/aaem.v8i1.674.

Bhatraju PK, Ghassemieh BJ, Nichols M, Kim R, Jerome KR, Nalla AK, et al. Covid-19 in Critically Ill Patients in the Seattle Region — Case Series. N Engl J Med. 2020;382(21):2012–22. DOI: 10.1056/nejmoa2004500.

Grasselli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al. Baseline Characteristics and Outcomes of 1591 Patients Infected with SARS-CoV-2 Admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020;323(16):1574–81. DOI: 10.1001/jama.2020.5394.

Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020;8:475–81. DOI: 10.1016/ S2213-2600(20)30079-5.

Golestani-Eraghia M, Mahmoodpoor A. Early application of prone position for management of Covid-19 patients. J Clin Anesth. 2020;66(109917). DOI: 10.1016/j.jclinane.2020.109917.

Matsumura ES de S, Sousa Júnior AS, Guedes JA, Teixeira RC, Kietzer KS, Castro LS de F. Distribuição territorial dos profissionais fisioterapeutas no Brasil. Fisioter e Pesqui. 2018;25(3):309–14. DOI: 10.1590/1809-2950/17027025032018.

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Published

2022-08-08

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Section

Original Research

How to Cite

Perception of Health Professionals on the prone position as a therapeutic strategy for patients with COVID-19. (2022). Fisioterapia E Pesquisa, 29(2), 176-180. https://doi.org/10.1590/1809-2950/21021229022022EN