危重型新型冠状病毒肺炎患者俯卧位通气实操流程

Practical procedure of prone position ventilation in critical coronavirus disease 2019 patients

俯卧位通气已成为急性呼吸窘迫综合征(ARDS)患者肺保护性通气的重要组成部分,适时恰当地实施能够改善此类患者的病死率。对于危重型新型冠状病毒肺炎(新冠肺炎)患者,合理进行俯卧位通气亦是如此,但在具体实施俯卧位通气的操作过程中,安全评估、实施细节的把控、并发症预防等方面仍需进一步规范加强。现旨在针对危重型新冠肺炎患者实施俯卧位通气的具体要求及要点进行阐述,以期推动俯卧位通气在危重型新冠肺炎患者救治过程中的应用,并减少相关并发症的发生。

Prone position ventilation has become an important part of lung protective ventilation in acute respiratory distress syndrome(ARDS)patients.Timely and appropriate implementation can improve the mortality of such patients.The same is true for patients with critical coronavirus disease 2019(COVID-19)patients,but safety assessment,control of implementation details and prevention of complications still need to be further standardized during the practical procedure of prone position ventilation.The purpose of this paper is to explain the specific requirements and key points of prone position ventilation in critical COVID-19 patients,in order to promote the application of prone position ventilation in the treatment of patients with critical COVID-19 and reduce the occurrence of related complications.