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Hemodynamic Effect of Prone Position in Non-intubated Patient With COVID 19

Conditions
Pneumonia, Viral
Covid19
Interventions
Procedure: prone position
Registration Number
NCT04834947
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Prone position in non-intubated patient has shown some respiratory physiological benefits. Prone positioning in patient intubated with ARDS has shown hemodynamic benefits. We aim to compare hemodynamic assessment before and after prone positioning in non-intubated patient with COVID 19 pneumonia. The study hypothesis is that prone positioning in non-intubated patient improve right ventricular preload, reduce afterload and increase Cardiac index compared to supine position.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Adult patient
  • COVID 19 pneumonias with Hypoxemia
  • for whom prone positioning has been decided by the attending physician.
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Exclusion Criteria
  • Mechanical ventilation
  • ECLS
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Prone position in non-intubated COVID19 , before and after.prone positionPatients with non-intubated COVID19 pneumoniae for whom the clinician has decided to try prone positioning to increase the PaO2 in a context of hypoxemia with O2 requirement.
Primary Outcome Measures
NameTimeMethod
Hemodynamic effectCardiac index will be recorded before, just after prone position and after return to supine position.

Cardiac index

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Service d'Anesthésie-Réanimation, Hôpital Louis Pradel,

🇫🇷

Bron, France

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