Impact of Prone Position in Patients Under Spontaneous Breathing on Intubation or Non-invasive Ventilation or Death Incidence During COVID-19 Acute Respiratory Distress
NCT04363463 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 268
Last updated 2022-12-28
Summary
The SARS-Cov2 viral pandemic is responsible for a new infectious disease called COVID-19 (CoronaVIrus Disease), is a major health problem. Respiratory complications occur in 15 to 40%, the most serious is acute respiratory distress syndrome (ARDS).
The management of COVID-19 is essentially symptomatic with respiratory oxygen supplementation in mild forms to invasive mechanical ventilation in the most severe forms.
Prone position (PP) reduced mortality in patients with ARDS in intensive care. Ding et al showed that PP and high flow oxygenation reduced the intubation in patients with moderate to severe ARDS.
The investigators hypothesize that the use of PP in spontaneously ventilation patients under oxygen standard could decrease incidence of intubation or non-invasive ventilation or death compared to conventional positioning management in medical departments.
Conditions
- COVID19
- Oxygen Therapy
- Prone Position
- Spontaneous Ventilation
- Respiratory Distress Syndrome
Interventions
- OTHER
-
prone position
Two sessions minimum of prone position over the day. With a total objective of at least 2h30 of cumulated duration over the day. The objective is to spend as much time as possible in prone position if the patient tolerates it well.
Sponsors & Collaborators
-
Centre Hospitalier Régional d'Orléans
lead OTHER
Principal Investigators
-
Mai-Anh NAY, Dr · CHR Orléans
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-28
- Primary Completion
- 2022-01-13
- Completion
- 2022-01-13
Countries
- France
- Monaco
Study Locations
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