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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
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Awake Prone Positioning In COVID Positive Patients: A Retrospective Study.

Shova Dangol1, Dipesh Poudel1, Surendra Man Shrestha1

  • 1Department of Anaethesia and Critical Care, Nepal Armed Police Force Hospital, Kathmandu, Nepal.

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Awake prone positioning significantly improved oxygen saturation in COVID-19 patients. This cost-effective intervention is a valuable tool for resource-limited healthcare settings facing severe cases.

Keywords:
Awake prone; COVID-19; oxygen saturation; resource-poor.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Medicine
  • Infectious Diseases

Background:

  • Resource-poor settings face challenges managing severe COVID-19 cases.
  • Cost-effective interventions are crucial for developing countries like Nepal.
  • Awake prone positioning is explored as a potential low-cost solution.

Purpose of the Study:

  • To evaluate the effectiveness of awake prone positioning in improving oxygenation for COVID-19 patients.
  • To assess the feasibility of this intervention in resource-limited healthcare environments.

Main Methods:

  • Retrospective study of 150 COVID-19 patients (November 2020 - January 2021).
  • Data collected at four time points relative to prone positioning.
  • Statistical analysis using SPSS version 23, including ANOVA and Games Howell Post Hoc test.

Main Results:

  • Oxygen saturation increased significantly from a mean of 87.18% to 91.08% after 15 minutes of prone positioning.
  • One-way ANOVA indicated significant differences in oxygen saturation across time points (p=0.000).
  • Post hoc tests confirmed significant differences in oxygen saturation at all measured time points.

Conclusions:

  • Awake prone positioning is a promising intervention for enhancing oxygenation in COVID-19 patients.
  • This technique is cost-effective and feasible, offering a vital option for resource-poor healthcare settings.
  • It can be a beneficial intervention for managing severe COVID-19 cases in underserved regions.