5 ms·
This is a perplexing article. Prone ventilation has been known to reduce mortality in severe ARDS from randomized, controlled trials for almost a decade[1]. Pr
by carbocation 7y ago
This is a perplexing article. Prone ventilation has been known to reduce mortality in severe ARDS from randomized, controlled trials for almost a decade[1].
Proning is great! It keeps people alive. We are doing a lot of it. It's not new.
1 = https://www.nejm.org/doi/full/10.1056/NEJMoa1214103 https://www.nejm.org/doi/full/10.1056/NEJMoa1214103
- epmaybe 7y agoI agree it was a weird focus of the article based on the title. There are also problems associated with proning, including but not limited to: body habitus, loss of airway, hypotension, loss of venous access. I imagine that proning isn't always an option for some patients, and was basically told as much by an ICU attending last week. I guess I'm trying to say that proning isn't a magic bullet, it's just one of many tools in a doctor's toolbox to try and save lives.
- SilasX 7y agoOkay but then how is that something "they wish they knew" a month ago? They didn't know then?
- carbocation 7y agoThat's why I'm perplexed. It comes across as trying to make something more dramatic than it already is. (And, I mean, hospitals being full of patients with a novel disease is already sufficiently dramatic.)
- SilasX 7y agoSorry, I misread you, we're in agreement there. I think it's partly an issue of journalists wanting to make their stuff more clickbaity than it deserves to be.
- andrewtbham 7y agoThe proning is not the point. The point is to delay using a ventilator.