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Prolonged prone-position ventilation feasible in ARDS

Critical Care Medicine
Reuters Health - 26/01/2021 - Prolonged pone position ventilation (PPV) was feasible and "relatively safe" in a retrospective single-center study. "Despite compelling evidence supporting the use of prone position during mechanical ventilation for ARDS - both COVID-19- and non-COVID-19-related - adoption has been generally very poor and sporadic," Dr. Ivor Douglas of Denver Health Medical Center in Colorado told Reuters Health by email. "Specifically, we were aware that a frequent barrier is that the most commonly used PPV protocol requires a period a daily repositioning from prone to supine position, as reported in the pivotal PROSEVA study (https://bit.ly/36cGXvu). " "Our unit practices routine, prolonged PPV initiated early in the course of ARDS and continued until significant improvements," he said. "We do not use special proning beds and have a robust training program with simulation for our staff. The approach of prolonged PPV WITHOUT daily periods of supine re...

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