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the aim of the study is to assess safety and efficacy of prone position ventilation beyond the usual 16 hrs in patients with SARS-COV-2
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group(A) control group | No Intervention | pronation cycles each last for 16 hours every 24 hours | |
| group(B) | Active Comparator | pronation cycles each last for 24 hours followed by 6 hours supine position |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| prolonged prone position ventilation | Procedure | patients mechanically ventilated with SARS COV 2 will be subjected to a longer than usual period of prone position ventilation |
|
| Measure | Description | Time Frame |
|---|---|---|
| rate of successful weaning | how many patients successfully extubated, hospital survival, ICU stay | 28 days |
| Incidence of complications | Incidence of facial edema, pressure wounds, lines disconnections, hemodynamic instability | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of oxygenation | mean value of change in PaO2/FiO2 ratio and static lung compliance before and after 3 successive proning cycles | 28 days |
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Inclusion Criteria:
Exclusion Criteria:
- Contraindication for prone positioning
Those returned to supine position before completing the session time
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University hospitals | Cairo | 11591 | Egypt |
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