You are here

Article Text

Article menu
Download PDFPDF
Novel treatment (new drug/intervention; established drug/procedure in new situation)
Case report
Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis
  1. Paul Whittemore1,
  2. Laura Macfarlane1,
  3. Anna Herbert2 and
  4. John Farrant2
  1. 1 Respiratory, Apollo ICU Fairfield, Bury, UK
  2. 2 Cardiology, Apollo ICU Fairfield, Bury, UK
  1. Correspondence to Dr Paul Whittemore; paulawh1{at}doctors.org.uk

Abstract

A 60-year-old man with swab-positive COVID-19 and extensive ground-glass change seen on CT imaging was successfully managed on our COVID-19 high-dependency unit with only low-flow oxygen and strict awake proning instructions. He was successfully weaned off oxygen entirely without any requirement for non-invasive or invasive ventilation and made a recovery to be discharged home after an 18-day hospital stay.

  • adult intensive care
  • mechanical ventilation
  • respiratory medicine

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2020-236586

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors PW: planning of report, conduct of the study, reporting, acquisition of data and analysis; JF: planning of report, conduct of the study, acquisition of data and analysis; LM: planning and conduct of the study; AH: planning and conduct of the study.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.