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    Home > Active Ingredient News > Infection > Lancet respir med: Effect of reclining on oxygen saturation in patients with new coronary pneumonia

    Lancet respir med: Effect of reclining on oxygen saturation in patients with new coronary pneumonia

    • Last Update: 2020-07-12
    • Source: Internet
    • Author: User
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    The COVID-19pandemic led to a large number of patients with respiratory failure who needed intubation therapy, and it was found that reclining could reduce mortality in patients with moderate to severe acute respiratory distress syndromeRecently, researchers examined the feasibility and effectiveness of reclining breathing therapy for patients with awake, non-intubated Covid-19 pneumoniastudy in Italy, patients with COVID-19-related pneumonia aged 18-75 received oxygen-absorbing or noninvasive sustained airway positive pressure ventilation, collecting baseline data on patient demographics, anthropometrics, arterial blood gas, and ventilation parametersAfter baseline data collection, help the patient into the reclining position for at least 3 hoursRecollect the above data 10 minutes after the reclining position and 1 hour after returning to the reclining positionThe main results were changes in data on oxygenation (oxygen fractional pressure (PaO2) / inhalation of oxygen concentration ( FiO2) data after baseline checking and intervention56 patients participated in the study, 44 (79%) of whom were men, with an average age of 57.4 years, with an average BMI of 27.5 kg/m2Interventions in 47 patients (83.9%) found that it was feasible to use a reclining position (i.emaintain at least 3h)From the reclining position to the reclining position, the oxygenation data has improved significantly (the reclining PaO2/FiO2 ratio is 180.5mm Hg, the reclining position is 285.5mm Hg)After post-oxygen therapy, oxygenation improved (50.0%) in 23 patients, but was not significant (1h PaO2/FiO2 ratio was 192.9mmHg)Increased levels of inflammatory markers in patients with increased oxygenation (C-reactive protein: 12.7 mg/L vs8.4 mg/L; platelets: 241.1 x 103/L vs 319.8 x 103/?L)Of the 46 patients , 13 (28 per cent ) were eventually intubated , 7 (30 per cent) of the body intervention respondents and 6 (26 per cent) of the non-respondentsstudies suggest that for patients who need to receive oxygen absorptionnew coronary pneumonia , reclining breathing intervention can quickly improve oxygen saturation, but not reduce the intubation rate of patients
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