"At Lincoln Hospital in the Bronx, Dr. Nicholas Caputo followed 50 patients who arrived with low oxygen levels between 69 and 85 percent (95 is normal). After five minutes of proning, they had improved to a mean of 94 percent."https://www.nytimes.com/2020/04/14/nyregion/new-york-coronavirus.html …
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Replying to @paulg
If only a country of 1.2b people had been using this method as part of their treatment plan for months so we could have learned from them.
2 replies 3 retweets 51 likes -
Replying to @J_RRasmussen @paulg
The videos from Italy did show that people were positioned this way.
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its literally in their publicly available treatment plan
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proning is common treatment in ARDS. Awake proning is those in early resp failure not on mechanical ventilation is novel.
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so breakthrough is: "this thing that works super well for medium sick ppl... let's try on in those only a little bit sick before they get medium sick"?
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pretty much. bear in mind true ARDS pre COVID is quite rare and more typical resp failure (bacterial pneumonias etc) people usually decompensate too quickly and are too sick/comorbid to try this.
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Replying to @grepmeded @J_RRasmussen and
Which is why the sooner the better, for appropriate conditions of course.
1 reply 1 retweet 5 likes
try eating and taking medicines (and watching TV) proned on your belly with IV lines and monitors attached to you... it doesn’t easily fit in with pt/nursing workflow. In many ways COVID (many young with isolated resp failure) provides perfect pts for this intervention.
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