Reference no: EM133784930

Question

The COVID-19 pandemic has posed significant challenges to healthcare systems worldwide. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can lead to acute respiratory distress syndrome (ARDS), a life-threatening condition characterized by severe hypoxemia and respiratory failure. Prone positioning, or proning, has emerged as an effective intervention to improve oxygenation and outcomes in patients with severe ARDS, including those with COVID-19. This case study explores the application of clinical practice guidelines on proning for a COVID-19 patient with severe ARDS. Scenario: John Deer, a 62-year-old male with a history of hypertension and type 2 diabetes, was admitted to the intensive care unit (ICU) with severe COVID-19 pneumonia. Despite receiving high-flow nasal cannula (HFNC) oxygen therapy, his oxygen saturation remained critically low. A chest X-ray and CT scan confirmed extensive bilateral infiltrates consistent with ARDS. The ICU team decided to initiate invasive mechanical ventilation due to worsening respiratory distress. In line with clinical practice guidelines, the team considered proning as a strategy to improve oxygenation. John was placed in the prone position for 16 hours per day, alternating with 8 hours in the supine position. His response to the intervention, complications, and overall management plan are discussed in this case.