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CASE SERIES
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 100-106

Utility of awake prone positioning with low-dose systemic corticosteroids in coronavirus disease 2019 acute respiratory distress syndrome patients: A case series


1 Department of Critical Care Medicine, Kasturba Medical College, Manipal, Karnataka, India
2 Department of Infectious Diseases, Kasturba Medical College; Manipal Center of Infectious Diseases, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India
3 Manipal Center of Infectious Diseases, Prasanna School of Public Health; Department of Medicine, TMA Pai Hospital, Manipal Academy of Higher Education, Manipal, Karnataka, India

Correspondence Address:
Dr. Kavitha Saravu
Department of Infectious Diseases, Kasturba Medical College, Manipal - 576 104, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijrc.ijrc_66_20

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Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2, novel enveloped RNA beta-coronavirus. The clinical manifestations vary from no symptoms to fever, cough, respiratory distress, pneumonia, and adult respiratory distress syndrome (ARDS) or uncommonly diarrhea. Typically, the disease has viremic phase, pulmonary phase, and severe host inflammatory phase. Prompt interventions in the first two phases such as awake prone positioning and administration of low-dose corticosteroids can prevent the onset of the third phase of the deadly disease. Awake prone positioning and systemic corticosteroids are simple interventions, which can prevent the requirement of mechanical ventilation and also lead to reduction in the inflammatory response and disease severity. We report a case series of six patients who diagnosed with COVID-19 ARDS and were benefitted by awake prone positioning sessions and low-dose systemic corticosteroid therapy.


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