Status:
UNKNOWN
Prone Positioning on Admission for Hospitalized COVID-19 Pneumonia Protocol
Lead Sponsor:
Poudre Valley Health System
Conditions:
COVID-19
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
A pilot study to investigate the effects of the prone positioning (PP) on hospital patients diagnosed with COVID-19 pneumonia. Investigators that early self-proning may prevent intubation and improve...
Detailed Description
In hypoxic respiratory failure, placing patients in the prone position improves ventilation to perfusion matching, alveolar recruitment, and alveolar to arterial oxygen gradients. Specifically, in Acu...
Eligibility Criteria
Inclusion
- Patients admitted to the hospital floor with primary diagnosis of confirmed COVID-19 pneumonia and respiratory failure requiring greater than or equal to 2 Liters(L) Nasal Cannula (NC) to maintain SpO2\>90%
- Ability to independently change positions in bed
- Able to tolerate prone positioning
- Age greater than 18
Exclusion
- ICU admission on arrival
- Respiratory distress requiring immediate intubation
- Respiratory Rate(RR)\>35/min, accessory respiratory muscle use (ex. speaking in short sentences), signs of respiratory muscle fatigue, altered mental status, or inability to protect airway
- Chest or facial trauma, pneumothorax or other contraindication to prone positioning (i.e., spinal instability, recent abdominal surgery, pregnancy, etc)
- Hemodynamically unstable
- Heart Rate (HR)\>120 bpm, Systolic Blood Pressure (SBP)\<90 mmHg, Mean Arterial Pressure (MAP)\<65 mmHg or requirement for vasopressor
- Nausea and vomiting
- Pregnancy
- Refusal or inability to tolerate initial prone positioning due to comfort
Key Trial Info
Start Date :
July 13 2020
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 31 2022
Estimated Enrollment :
100 Patients enrolled
Trial Details
Trial ID
NCT04424797
Start Date
July 13 2020
End Date
July 31 2022
Last Update
April 25 2022
Active Locations (3)
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1
UCHealth Poudre Valley Hospital
Fort Collins, Colorado, United States, 80524
2
UCHealth Greeley Hospital
Greeley, Colorado, United States, 80634
3
UCHealth Medical Center of the Rockies
Loveland, Colorado, United States, 80538