Prone Position (PP) for COVID-19 Patients in Need of Oxygen

Prone Position (PP) for COVID-19 Patients in Need of Oxygen
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Introduction
Turning a sick patient in need of supplemental oxygen from their back so that they can lie on their abdomen is referred to as proning. Several studies have verified and listed the advantages of proning in the patient’s ability to take in oxygen by breathing with ease. The usage of an incentive spirometer is also another strategy in facilitating the uptake of adequate oxygen—patients who do not prone need to be intubated or placed in ventilation machines. Again, Proning and proper usage of an incentive spirometer are highly effective on the patients’ ability t to take in oxygen, compared to patients who are not prone.
A Comparison of Research Questions
Prone position (PP) poses benefits such as improved breathing which allows the intake of adequate amounts of oxygen, effective for Covid-19 patients who are non-intubated. PP has been shown to improve patient outcomes in patients who require oxygen (Siegmeister et al., 2021). The early awake PP in combination with the high-flow nasal cannula (HFNC) has been questioned whether it can effectively treat severe Covid-19. The study by Xu et al. (2020) found that early wake PP is effective even if the patient is on HFNC as it helps to increase the oxygen concentration in patients. The pros and cons of PP and whether the procedure is beneficial were looked at. The study revealed that for the patients to be prone, patients’ criteria should be provided. It might be dangerous for intubated patients to be prone. Additionally, patients with anatomic contraindications should avoid pronation at all costs (Venus et al., 2020). Another study looked at uncovering whether oxygenation can improve after prone positioning. The study showed that after PP, oxygenation rapidly increased after one hour. The oxygen saturation in the ten patients who had been selected to evaluate and depict the procedure’s effectiveness had risen to 94%, and eight out of ten patients did not need intubation (Damarla et al., 2020). Clarke et al. (2021) sought the effects of prone positioning on patients with COVID-19. The study revealed that prone positioning as part of management improves oxygenation and lung recruitment in patients who were invasively ventilated. Cammarota et al. (2021) conducted a study to find out the effect of awake prone position in patients with low oxygen concentration undergoing non-invasive ventilation (NIV) for acute respiratory failure related to Covid-19. It was found out that for sure, prone positioning improves gas exchange, but this may put pressure on the chest wall, thus reducing the comfort of awake patients in PP.
Seyller et al. (2021) studied the role of incentive spirometry in the treatment of Covid-19. He sought to find out the impact of deep breathing in reducing respiratory symptoms in patients with Covid-19. The study showed that the benefits of proning are achieved by reducing ventilation mismatch thus promoting sustained maximal inspiration and preventing collapse. Finally, a study was carried out to describe Acute Respiratory Distress Syndrome (ARDS) in relation to the use of consci...