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Nerve Compression Injuries After Prolonged Prone Position Ventilation in Patients With SARS-CoV-2: A Case Series

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Background Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the SARS-CoV-2 pandemic. However, this procedure can also be responsible for nerve damage… Click to show full abstract

Background Prone positioning improves oxygenation in adult respiratory distress syndrome. This procedure has been widely used during the SARS-CoV-2 pandemic. However, this procedure can also be responsible for nerve damage and plexopathy. Methods We retrospectively reviewed a series of 7 infectious COVID-19 patients who underwent prone positioning ventilation at the San Raffaele Hospital of Milan (Italy), during the SARS-CoV-2 pandemic. Results Clinical and neurophysiological data of 7 patients suffering from nerve compression injuries have been reported. Conclusions Healthcare workers should take into consideration the risk factors for prone positioning-related plexopathy and nerve damage, especially in COVID-19 patients, to prevent this type of complication.

Keywords: ventilation; compression injuries; series; sars cov; nerve; nerve compression

Journal Title: Archives of Physical Medicine and Rehabilitation
Year Published: 2020

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