Quote:
Originally Posted by graciegirl
Doctor,
Have you heard about a "positional" therapy for people with pneumonia that has them placed on their stomach? I heard the tale end of this discussed and I don't know whether it is ever used or not and wonder how it would help. I can't find much when I google and there are so many wild ideas floating around about treatments for Covid-19. I thought I would ask an expert.
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The positional information relates mostly to studies that have been done to examine whether patients do better on their back [supine] or on their belly [prone]. The evidence in patients with ARDS [acute respiratory distress syndrome which is the lung failure from Covid pneumonia and other causes] is that they do better on the belly.
If you go to the middle of
this document from Mass General you can see the recommendation
And
HERE is the statement from the Intensive Care Society which has many references and the explanation of the mechanical and physiologic advantages of being place on the belly in ARDS.