A Randomised Controlled Trial of Early Prone Positioning to Improve Oxygenation in Non-Intubated Adults Admitted to Intensive Care with COVID-19

Royal Prince Alfred Hospital0 个研究点目标入组 20 人开始时间: 2020年7月16日最近更新: 2020年7月20日

适应症

试验速览

暂无简介。

•*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

•* 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.

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