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COVID-19 Curbside Consults

Should I prone non-ventilated awake patients with COVID-19?

Megha Prasad, MD MS and Kavel Visrodia, MD
Cleveland Clinic Journal of Medicine June 2020, DOI: https://doi.org/10.3949/ccjm.87a.ccc050
Megha Prasad
Columbia University Medical Center, Department of Medicine, New York City, NY
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Kavel Visrodia
Massachusetts General Hospital, Department of Medicine, Boston, MA
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    TABLE 1

    Awake proning in patients with COVID-19 infection

    StudyNo. of patientsProtocolFindings
    Elharrar et al624As tolerated, majority > 3 hoursOxygenation improvement in a subset of patients
    Sartini et al715Noninvasive ventilation in addition to proning for median of 2 times, 3 hours each per dayImproved oxygenation
    Ng et al8101 hour each, 5 sessions a day, spaced 3 hours apartImproved oxygenation and reduced need for mechanical ventilation
    Caputo et al9505 minutes of proningImprovement in oxygenation with proning
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Cleveland Clinic Journal of Medicine: 92 (6)
Cleveland Clinic Journal of Medicine
Vol. 92, Issue 6
1 Jun 2025
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Should I prone non-ventilated awake patients with COVID-19?
Megha Prasad, Kavel Visrodia
Cleveland Clinic Journal of Medicine Jun 2020, DOI: 10.3949/ccjm.87a.ccc050

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Should I prone non-ventilated awake patients with COVID-19?
Megha Prasad, Kavel Visrodia
Cleveland Clinic Journal of Medicine Jun 2020, DOI: 10.3949/ccjm.87a.ccc050
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  • Article
    • ABSTRACT
    • INTRODUCTION
    • PHYSIOLOGY OF PRONING IN ACUTE HYPOXEMIC RESPIRATORY FAILURE
    • THE EVIDENCE
    • LOGISTICAL BENEFITS OF PRONE POSITIONING AND POTENTIAL RISKS
    • CONCLUSIONS
    • Footnotes
    • REFERENCES
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  • Update to COVID-19 serologic testing : FAQs and caveats
  • Update to post-acute sequelae of SARS-CoV-2 infection: Caring for the 'long-haulers'
  • COVID-19 in older adults
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