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Prone ventilation in COVID-19 acute respiratory distress syndrome: Case report of two patients from Ethiopia


Dawit Kebede Huluka
Sebrina Ahmed
Hiwotie Abebe
Joseph Huang
David H. Chong
Deborah A. Haisch
Charles B. Sherman

Abstract

The COVID-19 pandemic is one of the largest health crises that the world has ever seen, infecting forty million people and killing more than 1 million to date. The disease has imposed a significant demand on health care resources due to the increased number and severely ill patients visiting facilities each day. Since there is no effective cure for COVID-19, supportive management with oxygen, steroids, anticoagulation, and prone positioning remains the major interventions. Prone ventilation is known to have a mortality benefit in intubated patients with acute respiratory distress syndrome (ARDS). However, studies on its role in intubated patients with COVID-19 ARDS (CARDS) are very scarce in resource-limited settings like Africa. We describe two patients with CARDS who were successfully treated with invasive mechanical ventilation, prone ventilation, and standard supportive care.


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eISSN: 2694-4561