Prone Position in Severe Acute Respiratory Distress SyndromeAnalysis by Dr.
Joseph Mercola <https://www.mercola.com/forms/background.htm>Fact Checked

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   - May 07, 2020
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https://articles.mercola.com/sites/articles/archive/2020/05/07/prone-positioning-improves-survival-in-severe-ards.aspx

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   Acute respiratory distress syndrome (ARDS) is a lung condition that
   causes low blood oxygen and fluid buildup in the lungs; it’s a common
   complication of severe COVID-19 cases
   - Lying in the prone (face down) position, in which your chest is down
   and your back is up, could be a simple way to improve outcomes in ARDS
   - Early application of prone positioning lowered mortality rates in
   people with severe ARDS
   - Oxygenation is significantly better among patients in the prone
   position compared to the supine (face up) position, and prone positioning
   may also prevent ventilator-induced lung injury
   - Increasing research suggests that prone positioning should be used
   “systematically” in the early management of severe ARDS, and not reserved
   as a “rescue maneuver or a last-ditch effort”
   - You can also try prone positioning at home if you’re experiencing
   cough or mild shortness of breath

Lying in the prone (face down) position, in which your chest is down and
your back is up, could be a simple way to improve outcomes in cases of
severe respiratory distress. This topic has received renewed attention
during the COVID-19 pandemic, as invasive mechanical ventilation is
conventionally delivered with the patient in the supine (face up) position,
which refers to lying on your back.

“Mechanical ventilation is the main supportive treatment for critically ill
patients” infected with novel coronavirus 2019 (COVID-19), according to a
February 2020 study published in The Lancet Respiratory Medicine.1 However,
reports suggest that many COVID-19 patients put on ventilators don’t make
it.

In a JAMA study that included 5,700 patients hospitalized with COVID-19 in
the New York City area between March 1, 2020, and April 4, 2020, mortality
rates for those who received mechanical ventilation ranged from 76.4% to
97.2%, depending on age.2 There are many reasons why those on ventilators
have a high risk of mortality, including being more severely ill to begin
with.

However, given the poor outcomes, some physicians are now trying to keep
patients off ventilators as much as possible by using alternative measures,
including having patients lie on their stomachs (prone) to allow for better
lung aeration.3

It’s also possible that prone ventilation, which is ventilation delivered
with the patient lying in the prone position, may help patients who aren’t
responding to conventional ventilation in the supine position,4 as well as
reduce mortality in those with acute respiratory distress syndrome (ARDS).5
Prone Positioning Lowers Death Rate in Those With ARDS
*Click on the link for the rest.*

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