A low-tech way to help some COVID patients: Flip them over
Hospitals across the country are filled with a curious sight these days: patients lying on their bellies.
But, she said, “When you flip the patient onto the belly, now the back of the lungs can start to open,” allowing more air sacs to function, she said. Story continuesPast experience has found that in ventilated patients with acute respiratory distress syndrome, or ARDS — a condition that many seriously ill COVID-19 patients develop — proning for many consecutive hours a day improves the medical outcome that matters most: survival.
Subsequent studies found similar benefits. Still, the technique was being used for only about 15% of intubated ARDS patients, Gong said. “There’s certainly a lot of anxiety about that when you talk about rolling out something if you haven’t done it a lot,” he said. But “once you’ve done it a couple of times, people are like, ‘Oh wow, this isn’t that big of a deal.’ ”
Susan Zhang, 56, of Long Island, New York, was proned each of the seven days she was sedated and on a ventilator in April in Montefiore’s neuroscience intensive care unit. The benefits for intubated patients have prompted hospitals to examine whether proning can help prevent the need to put patients on ventilators. A trial at Rush University Medical Center in Chicago is studying whether ICU patients lying on their stomachs are less likely to be intubated.
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