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Manual proning of a morbidly obese COVID-19 patient: A case report
Affiliation:Critical Care Department, Acute and Critical Care Medicine Division, Queen''s Hospital, Barking, Havering, And Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, RM7 0AG, UK
Abstract:Continuously rising numbers of obese critical care patients pose many challenges to the healthcare workers, especially during the COVID-19 pandemic. Among them, proning may be one of the most labour-intensive tasks. Prone positioning is performed manually in hospitals where mechanical lifting aids are unavailable; however, the exact method of manual proning is not explicitly described in the literature.Here, we present a case of a morbidly obese patient with COVID-19 pneumonitis in the intensive care unit with a step-by-step guide of the manual proning technique. Our approach is simple and feasible, as only readily available tools, such as bed sheets and friction-reducing sheets, are used.
Keywords:Acute respiratory distress syndrome  Case report  Critical care  Morbid obesity  Prone position
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