Proning is recommended when a patient feels difficulty in breathing and the oxygen level falls below SpO2 -94.
The stage of pandemic is such that every little help can prove more. Patients, admitted or home isolated, along with diet and medication, keeping track of oxygen level is also an important precaution. The awareness rate is increasing day by day, which is a silver lining. Proning is one such suggestion given by many doctors to the covid patients, with its effectiveness over the crisis through reduced mortality. A maintenance of the oxygen rate is important for survival, which occurs in the serious or deteriorating stage of covid infection. Hence, proning- which includes a series of steps including maintaining a few body posture and positions, has been suggested as an effective preventive way to keep the oxygen levels up.
What is Proning? Relation with increase in oxygen level for Corona Patients
Simply stating, Proning means a lying face down position- a body placement such that ventilation and oxygen levels can be improved. Before Corona, this position was advised for some respiratory syndromes such as Acute Respiratory Distress Syndrome (ARDS. Its proven effect on improving oxygenation in case of Covid has been of great use now. The Ministry of Health and Family Welfare (MoHFW) has themselves advised the Covid 19 patients to practice proning for its benefits on breathing.
Dr Anita Mathew, Infectious Disease Specialist, Fortis Hospital, Mulund has shared her valuable suggestions and recommendations related to proning for dealing with Covid.
The volume and distribution of air in the lungs is dependent on the physical positions we are in. This can affect the exchange rate of carbon dioxide and oxygen. Hence, the patient is asked to change their postures and positions, from back to the abdomen, using simple and safe steps that improve breathing.
Now that people have learnt enough about home isolation or quarantine, mild symptoms can be prevented from going beyond because people being aware of the risk of low oxygen levels.
Proning- Sleeping Position for Corona Patients
A simple and safe method to help maintain oxygen demands, proning can be practiced at home with some easy and comfortable positions.
- 4 to 5 pillows would be required for self-proning-
- One pillow should be placed below the neck
- One or two below the chest through the thighs
- Two pillows below the shins (the front of the leg below the knee)
STEPS OF PRONING
Begin with lying on your belly, sit up, lie on your right, sit up with legs extended in the front, lie on your left, back to lying on your belly
- If you Do Not have a caretaker, remember-
- Alternate your positions regularly
- Do not spend more than 30 minutes in each position
- After every 30 minutes, lie on each side
- Before going back to newer position, sit up
- Points to remember while practicing proning-
- Proning is not recommended for pregnant women
- Do not practise proning at least for an hour after meals
- Maintain the proning positions only till it is tolerable; do not push yourself
- Keep a check on sores or injuries
- Avoid it if you have cardiac related issues
If you have an unstable spine, femur or fractures that affect posture, avoid proning
We all know, the mortality rate is very much at risk once oxygen level starts to fall, and hence the recommendation of proning has come into picture. With home quarantines as a resort of many patients, keeping up the oxygen levels has been one practice most recommended in these times.
With inputs from Dr Anita Mathew, Infectious Disease Specialist, Fortis Hospital, Mulund
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