A Study of Lying Face Down to Help Improve Oxygen Levels of Adults Not Needing Ventilators in Intensive Care with COVID-19

Not Applicable

• Conditions: COVID-19; SARS-CoV-2; Respiratory - Other respiratory disorders / diseases; Infection - Other infectious diseases

• Registration Number: ACTRN12620000740998
• Lead Sponsor: Royal Prince Alfred Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-07-16
• Last Update Posted: 20 July 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

*Adults, over the age of 18
*COVID-19 Diagnosis Confirmed – either by PCR or as per any unit policy changes that may be applied during the enrolment period
*Admitted to Intensive Care
*Any severity of disease (As defined by National COVID 19 Clinical Evidence Taskforce Australian Guidelines for the clinical care of people with COVID-19 assessable at https://covid19evidence.net.au ). For patients with severe disease, the treating intensivist must be consulted prior to randomisation (see exclusion criterion #2)
*Willing and able to tolerate prone positioning (A pre-enrollment screening test to ensure they can tolerate the position and can maneuver into & out of the prone position with minimal assistance from their usual care staff only. )
*Prior informed consent has been obtained from the patient

Exclusion Criteria

* Intubated, or expected to be intubated in the next 12 hours
* Non Intubated patients with severe disease where the treating intensivist (or an intensivist who is not a study investigator) has any safety concerns regarding the use of prone positioning
*Previously intubated for COVID-19, or in the recovery phase of their illness.
*Current (or expected) treatment limits such as ‘not for CPR’ or end-of-life care orders
*If in the judgment of the treating clinical team there is any other medical condition present which may reduce the safety of the prone positioning. Examples would include pregnancy, concurrent spinal precautions, severe cervical spine arthritis.

Study & Design

• Study Type: Interventional
• Study Design: Not specified