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PRONE POSITIONING - A SELF CARING AID FOR COVID-19 PATIENTS

PRONING, a strategic process of turning a patient from their back onto their belly--is a medically accepted position to improve breathing mechanisms and oxygenation. It is only beneficial in COVID-19 patients having difficulty in breathing and whose oxyge

Post by on Monday, May 31, 2021

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PRONING, a strategic process of turning a patient from their back onto their belly--is a medically accepted position to improve breathing mechanisms and oxygenation. It is only beneficial in COVID-19 patients having difficulty in breathing and whose oxygen saturation (SPO2) levels drop significantly below 94%. It can be a good self - caring aid for COVID-19 patients under home isolation.

It should be done correctly. You may need 4 to 5 pillows to acquire maximum benefit from it. One pillow should be below the neck, one or two pillows below the chest through upper thighs and two pillows below the shins. You need to do regular alterations in lying positions- right- lateral, left - lateral, supine and prone. Though you can spend upto 2 hours in each position, however best is not to spend more than 30 minutes in each position.

One may prone upto 16 hours a day in multiple sessions, however better is to ensure proning for as much time it is comfortable and tolerable. You can adjust the pillows slightly to alter pressure areas.

Proning should be avoided by pregnant women, people who are more obese and those having certain medical conditions like deep venous thrombosis, cardiovascular conditions or unstable spine, femur or pelvic fractures.

Dr. Tasaduk Hussain Itoo
Kashmir-based physician/Renowned Educator/ Prolific Columnist/ Founder JKIFTS


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