Amaç:
Pandemi sürecinde COVID 19'a bağlı akut respiratuar distres sendromu (C-ARDS) yoğunluğunun artması ile yüzüstü pozisyonun önemi artmıştır.C-ARDS hastalarında uzamış prone pozisyon sürelerinin hasta supine pozisyona çevrildikten sonra (post prone etki) kangazı parametreleri üzerine etkisinin, uzamış prone uygulamasının uygulanabilirliğinin, güvenliğinin ve 28 günlük mortalite üzerine etkisinin araştırılması amaçlanmıştır
Materials and Methods:
This study was a single-center prospective observational study with 1000 beds, 432 of which were intensive care units. Severe and moderate ARDS; the blood gas parameters (P/F, PaO2, SpO2 etc.) of the patients who were applied the standard prone (16 hours) and the extended prone (36 hours) position were compared.
Results:
It was observed that P/F, PaO2 and SpO2 values measured at the 8th hour (t4) (post prone) after the prone was placed in the supine position in the prolonged prone group were higher than before the prone (t1) (p<0.001). In the standard prone group, P/F, PaO2, and SpO2 values were not maintained in the post-prone period and were even lower than before the prone. The mortality of patients in the standard prone group was 51.7% (n=31); in the prolonged prone group, the mortality was 45% (n=27).
Conclusion:
With the application of the prolonged prone position, it has been observed that C-ARDS patients have better blood gas exchange with less manpower without harming the patients (pressure ulcer, retinal damage, joint damage, etc.).
Anahtar Kelimeler: Prone position, COVID-19, respiratory distrss syndrome, p/f, pandemic