Prone positioning in non-intubated, non-coronavirus disease 2019 patients
First author [ref.] | Patients n | Diseases | Respiratory device | PP regimen | Main results | Adverse event | Comments |
Chaisupamongkollarp [19] | 17 | Pneumonia | Oxygen | Improve SpO2 Improve compliance | Paediatric | ||
Tulleken [20] | 1 | Pneumonia | HFNC | 20 h | Improve PaO2 Resolve opacities | 0 | Paediatric |
Valter [21] | 4 | CHF, pneumonia, ARDS | 0 | 1–5 h | Improve PaO2 Avoid intubation | 0 | 1 death (CHF) |
Feltracco [22] | 2 | Post-reimplantation syndrome | NIV | 6–8 h per day, 8–10 days | Decrease FIO2 NIV removal | 0 | |
Feltracco [23] | 3 | Lung transplant respiratory complications | HFPV | 1–3 h, 3–6 times per day | Improve secretions clearance Improve respiratory mechanic Attenuate graft infiltrates Improve gas exchange | 0 | |
Scaravilli [24] | 15 | Hypoxaemic acute respiratory failure (pneumonia, fascitis, sepsis) | HFNC, CPAP and NIV | 3 h per day, 2 days | Improve PaO2 | Intolerance (n=2) | Retrospective PaO2 return to baseline after resupination |
Ding [25] | 20 | Infectious, moderate-to-severe ARDS (pneumonia, influenza) | NIV and HFNC | 30 min twice per day, ≥3 days | Avoid intubation Improve PaO2/FIO2 | Intolerance (n=2) | Intubation in 78% of severe ARDS patients |
Pérez-Nieto [26] | 6 | Non-infectious, severe ARDS (thoracic trauma, lupus pneumonitis) | NIV and HFNC | 2–3 h per 12 h, 2 days | Avoid intubation | 0 | Retrospective |
PP: prone positioning; SpO2: oxygen saturation measured by pulse oximetry; HFNC: high-flow nasal cannula; PaO2: arterial oxygen tension; CHF: congestive heart failure; ARDS: acute respiratory distress syndrome; NIV: noninvasive ventilation; FIO2: inspiratory oxygen fraction; HFPV: high-frequency percussive ventilation; CPAP: continuous positive airway pressure.