PT  - JOURNAL ARTICLE
AU  - Davide Bastoni
AU  - Erika Poggiali
AU  - Andrea Vercelli
AU  - Elena Demichele
AU  - Valentina Tinelli
AU  - Teresa Iannicelli
AU  - Andrea Magnacavallo
TI  - Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department
AID  - 10.1136/emermed-2020-209744
DP  - 2020 Sep 01
TA  - Emergency Medicine Journal
PG  - 565--566
VI  - 37
IP  - 9
4099  - http://emj.bmj.com/content/37/9/565.short
4100  - http://emj.bmj.com/content/37/9/565.full
SO  - Emerg Med J2020 Sep 01; 37
AB  - We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO2 value and PaO2/FiO2 ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.