08:39 PM
Thursday 16 April 2020
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Agencies:
Some doctors have revealed that the placement of corona virus patients with severe symptoms on the side of the abdomen helps to increase the amount of oxygen reaching their lungs.
As Dr. Mangla Narasimhan received an urgent call due to a critical condition of a man in his forties with an emerging coronavirus, her colleague wanted to come to the intensive care unit at a Long Island hospital to find out if he needed support to survive, according to what he said in ” CNN “Arabic.
Before she went there, Narasimhan asked the other doctor, to try to put the patient on the side of his stomach and see if that helped.
After that, Narasimhan didn’t need to go to the intensive care unit. This worked.
“Opening parts of the lung”
Patients infected with coronavirus often die from ARDS or acute respiratory distress syndrome. The same syndrome kills patients with influenza, pneumonia and other diseases.
Seven years ago, French doctors published an article in the Journal of the New England Journal of Medicine explaining that ARDS patients who had ventilators had a lower chance of death if they were placed on the side of the abdomen in the hospital.
Since then, to varying degrees, doctors in the United States have been placing ARDS patients on the abdomen side.
Now, they have doubled that with Corona virus patients, and this is paying off. When the patient was hospitalized in New England Hospital on his stomach, the rate of oxygen saturation, a measure of the percentage of oxygen in the blood, rose from 85% to 98%, which is a huge jump.
Usually, ventilated patients stay on their stomachs for approximately 16 hours a day, and then on their backs for the rest of the time so that doctors can better reach their front side and provide the treatments they need.
Choose a tummy or back
There is a downside to having Corona Virus Respiratory patients on the abdomen side.
Patients who are placed on ventilators need more anesthesia when placed on the side of the abdomen, which could mean longer stay in the intensive care unit.
At “Mass General” Hospital, about a third of the patients with Corona virus who are on ventilators are placed on the side of the abdomen, and they are usually the ones who suffer the most from serious symptoms, and who get the most benefit from their situation in this way.
Some hospitals also place coronavirus patients who are not in the intensive care unit on the side of the abdomen.
In “Mass General”, a team of nurses visits patients outside the intensive care unit to encourage them to turn around and sleep on the abdomen side, since it may be uncomfortable for an untwisted patient to spend 16 hours on his stomach, nurses try to make patients sleep four hours on Least on the stomach.
The French study of 2013 only addressed patients who were on ventilators, so it is not entirely clear what the effect of gastric position is for patients without severe illnesses.
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