Keywords
Coronavirus Infections
Respiratory Distress Syndrome
Adult
Rehabilitation nursing
Categories
How to Cite
Citações
Dimensions
Abstract
Introduction: The new coronavirus infection appeared in China in December 2019, it spread rapidly throughout the world, and was considered a pandemic by the World Health Organization in March 2020. This infection can cause pneumonia requiring hospitalization in intensive care units. The prone position is one of the interventions that can help in the treatment of acute respiratory distress syndrome in these people.
Objective: to identify the effects of the prone position in the treatment of patients with acute respiratory distress syndrome caused by the corona virus.
Method: integrative literature review conducted in May 2020. The following databases were used for data collection: SCOPUS, MEDLINE, and Google Scholar. Inclusion and exclusion criteria were applied.
Results: Of the 241 articles identified, 13 articles were selected, all published in 2020. The data was synthesized in 3 main subjects, indications, frequency of position changing and duration, and lastly, the effects of the prone position.
Conclusions: The prone position in this context, helps improve ventilatory and blood gas parameters, dyspnea symptoms, facilitates recovery, and consequently, early discharge, reduces hospitalization days and reduces mortality at 28 and 90 days.
References
Singhal T. A review of coronavirus disease-2019 (COVID-19). Indian J Pediatr. 2020; 87, 281–286. Disponível em: https://doi.org/10.1007/s12098-020-03263-6.
Rajagopal K, Keller SP, Akkanti B, Bime C, Loyalka P, et al. Advanced Pulmonary and Cardiac Support of COVID-19 Patients: Emerging Recommendations From ASAIO—a Living Working Document. Circ Heart Fail. 2020 May;13(5):e007175. Disponível em: https://doi.org/10.1161/CIRCHEARTFAILURE.120.007175.
Wu C, Chen X, Cai Y, Zhou X, Xu S, Huang Het al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med. 2020 Mar 13. Disponível em: https://doi.org/10.1001/jamainternmed.2020.0994.
Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z. Review of the clinical characteristics of coronavírus disease 2019 (COVID-19). J Crit Care Med. 2020 Mar 4:1-5 Disponível em: https://doi.org/10.1007/s11606-020-05762-w.
Del Rio C, Malani PN. COVID-19—new insights on a rapidly changing epidemic. JAMA. 2020 Apr 14;323(14):1339-40. Disponível em: https://jamanetwork.com/journals/jama/article-abstract/2762510
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B,Gu X, Guan L. Clinical course ans risk factors for mortality of adult inpatients with COVID-19 in 24 Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 11; 395(10229): 1054-1062 Disponível em: https://doi.org/10.1016/S0140-6736(20)30566-3
Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020 Mar 17;323(11):1061-9. Disponível em: https://doi.org/10.1001/jama.2020.1585.
Matthay MA, Zemans RL, Zimmerman GA, Arabi YM, Beitler JR, Mercat A, Herridge M, Randolph AG, Calfee CS. Acute respiratory distress syndrome. Nat Rev Dis Primers. 2019 Mar 14;5(1):1-22. Disponível em: https://doi.org/10.1038/s41572-019-0069-0
Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, Mercier E, Badet M, Mercat A, Baudin O, Clavel M. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013 Jun 6;368(23):2159-68. Disponível em: https://www.nejm.org/doi/pdf/10.1056/nejmoa1214103
Sud S, Friedrich JO, Adhikari NK, Taccone P, Mancebo J, Polli F, Latini R, Pesenti A, Curley MA, Fernandez R, Chan MC. Effect of prone positioning during mechanical ventilation on mortality among patients with acute respiratory distress syndrome: a systematic review and meta-analysis. CMAJ. 2014 Jul 8;186(10):E381-90. Disponível em. https://doi.org/10.1503/cmaj.140081.
Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, Oczkowski S, Levy MM, Derde L, Dzierba A, Du B. Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Crit Care Med. 2020 Mar 28:1-34.
Bamford P, Denmade C, Newmarch C. Guidance for prone positioning in adult critical care. Intensive Care Soc 2019; 1–39. Disponível em: https://www.ics.ac.uk/ICS/News_Statements/Prone_Positioning_in_Adult_Critical_Care_.aspx
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang J, Liu Y, Wei Y, Yu T. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb 15;395(10223):507-13. Disponível em: https://doi.org/10.1016/S0140-6736(20)30211-7.
Sousa LM, Firmino CF, Marques-Vieira CM, Severino SS, Pestana HC. Revisões da literatura científica: tipos, métodos e aplicações em enfermagem. Rev Port Enferm Reabil [Internet]. 2018 Jun 22[citado 2020 Maio 21];1(1):45-54. Disponível em: http://dx.doi.org/10.33194/rper.2018.v1.n1.07.4391
Sousa LM, Marques-Vieira C, Severino SS, Antunes AV. Metodologia de Revisão Integrativa da Literatura em Enfermagem. Rev Inv Enferm [Internet]. 2017 [citado 2020 Maio 21]; S2 (21): 17-26. Disponível em: http://hdl.handle.net/20.500.12253/1311
Sousa LM, Marques JM, Firmino CF, Frade F, Valentim OS, Antunes AV. Modelos de formulação da questão de investigação na Prática Baseada na Evidência. Rev Inv Enferm [Internet]. 2018 [citado 2020 Maio 21]; S2 (23): 31-9. Disponível em: http://hdl.handle.net/20.500.12253/1287
Registered Nurses’Association of Ontario Falls prevention: building the foundations for the patient safety. A self-learning package. Toronto: Registered Nurses’ Association of Ontario 2007.
Barrasa H, Rello J, Tejada S, Martín A, Balziskueta G, Vinuesa C, Fernández-Miret B, Villagra A, Vallejo A, San Sebastián A, Cabañes S. SARS-CoV-2 in Spanish Intensive Care: Early experience with 15-day survival in Vitoria. Anaesth Crit Care Pain Med. 2020 Apr 9. Disponivel em: https://doi.org/10.1016/j.accpm.2020.04.001
Bein B, Bachmann M, Huggett S, Wegermann P. SARS CoV-2/COVID-19: Evidence-Based Recommendation on Diagnosis and Therapy. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS. 2020 Apr 9;55(4):257-65. Disponivel em: https://doi.org/10.1055/a-1156-3991
Caputo ND, Strayer RJ, Levitan R. Early Self?Proning in Awake, Non?intubated Patients in the Emergency Department: A Single ED’s Experience during the COVID?19 Pandemic. Acad Emerg Med. 2020 May;27(5):375-8. Disponivel em: https://doi.org/10.1111/acem.13994
Carsetti A, Paciarini AD, Marini B, Pantanetti S, Adrario E, Donati A. Prolonged prone position ventilation for SARS-CoV-2 patients is
feasible and effective. Crit Care. 2020 Dec;24(1):1-3. Disponivel em: https://doi.org/10.1186/s13054-020-02956-w
Elharrar X, Trigui Y, Dols A-M, et al. Use of prone positioning in nonintubated patients with COVID-19 and hypoxemic acute respiratory failure. JAMA. Published online May 15, 2020. Disponivel em: https://doi.org/10.1001/jama.2020.825
Elkattawy S, Noori M. A case of improved oxygenation in SARS-CoV-2 positive patient on nasal cannula undergoing prone positioning. Respir Med Case Rep. 2020 May 4; 30:101070. Disponivel em: https://doi.org/10.1016/j.rmcr.2020.101070
Longhini F, Bruni A, Garofalo E, Navalesi P, Grasselli G, Cosentini R, Foti G, Mattei A, Ippolito MC, Accurso G, Vitale F. Helmet Continuous Positive Airway Pressure and prone positioning: a proposal for an early management of COVID-19 patients. Pulmonology. 2020 Apr 30. Disponivel em: https://static.elsevier.es/covid/PULMOE_1480.pdf
Meng L, Qiu H, Wan L, Ai Y, Xue Z, Guo Q, Deshpande R, Zhang L, Meng J, Tong C, Liu H. Intubation and Ventilation amid the COVID-19 OutbreakWuhan’s Experience. Anesthesiology: Anesthesiology. 2020 Mar 26;132: 1317-1332. Disponível em: https://doi.org/10.1097/ALN.0000000000003296
Moghadam VD, Shafiee H, Ghorbani M, Heidarifar R. Prone positioning in management of COVID-19 hospitalized patients. Braz J Anesthesiol. 2020 May 16. Disponivel em: https://doi.org/10.1016/j.bjane.2020.05.001
Sartini C, Tresoldi M, Scarpellini P, Tettamanti A, Carcò F, Landoni G, Zangrillo A. Respiratory Parameters in Patients With COVID-19 After Using Noninvasive Ventilation in the Prone Position Outside the Intensive Care Unit. JAMA. 2020 May 15. Disponivel em: https://doi.org/10.1001/jama.2020.7861
Sztajnbok J, Maselli-Schoueri JH, de Resende Brasil LM, de Sousa LF, Cordeiro CM, Borges LM, Malaque C. Prone positioning to improve oxygenation and relieve respiratory symptoms in awake, spontaneously breathing non-intubated patients with COVID-19 pneumonia. Respir Med Case Rep. 2020 May 19, 30:101096. Disponivel em: https://doi.org/10.1016/j.rmcr.2020.101096
Telias I, Katira BH, Brochard L. Is the Prone Position Helpful During Spontaneous Breathing in Patients With COVID-19?. JAMA. 2020 May 15. Disponivel em: https://doi.org/10.1001/jama.2020.8539
Vibert F, Kretz M, Thuet V, Barthel F, De Marcillac F, Deruelle P, Lecointre L. Prone positioning and high-flow oxygen improved respiratory function in a 25-week pregnant woman with COVID-19. Eur J Obstet Gynecol Reprod Biol. 2020 May 13. . Disponivel em: https://doi.org/10.1016/j.ejogrb.2020.05.022.
Kiekens C, Boldrini P, Andreoli A, Avesani R, Gamna F, Grandi M, Lombardi F, Lusuardi M, Molteni F, Perboni A, Negrini S. Rehabilitation and respiratory management in the acute and early post-acute phase." Instant paper from the field" on rehabilitation answers to the Covid-19 emergency. Eur J Phys Rehabil Med. 2020 Apr 15:06305-4.
Barker J, Koeckerling D, West R. A need for prone position CPR guidance for intubated and non-intubated patients during the COVID-19 pandemic. Resusc 2020 May 1; 151:135–136. Disponivel em: OI: https://doi.org/10.1016/j.resuscitation.2020.04.029
Schub ERB, Pilgrim JRBM. Patient Positioning (Critical Care Patients): Prone. Pravikoff D RPF, editor. CINAHL Nursing Guide [Internet]. 2020 May 1 [cited 2020 May 23]; Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=nup&AN=T705572
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2020 Revista Portuguesa de Enfermagem de Reabilitação
Downloads
| Abstract Views | 2752 |
|---|
| PDF (Português (Portugal)) | 1428 |
|---|
| HTML (Português (Portugal)) | 539 |
|---|