Health
Prone position can save patients with severe COVID-19, but can damage nerves in the extremities, scientists say
Nerve damage is the result of reduced blood flow and inflammation that is rarely experienced by other non-COVID-19 patients using a ventilator in this location. (Source: Getty Images / utilizing)
Prone position may ease breathing in severe illness COVID-19 (new coronavirus infection) (# If there is no character limit, add parentheses when it first appears Patients and scientists wearing ventilators say that this life-saving, prone position can also cause permanent nerve damage to these vulnerable individuals.
Nerve damage is the result of reduced blood flow and inflammation, and other non-COVID-19s using a ventilator in this location, according to researchers, including researchers at Northwestern University School of Medicine in the United States. Patients rarely experience it.
Based on this study, the scientists, approved for publication in the British Journal of Anaesthesia, miss this type of injury because seriously ill people are expected to wake up with general weakness when they are bedridden. Said that it was.
However, this pattern of debilitation in COVID-19 patients during rehabilitation is often found in important joints such as the wrists, ankles, and shoulders, and these body parts will be completely paralyzed on one side of the body, researchers said. Are saying.
“It’s shocking how big a problem it is. This is a much higher percentage of patients with nerve injuries than ever seen in other critical populations,” Northwestern Fine said. Colin Franz, co-author of the Berg School of Medicine, said.
“Usually, very sick people can tolerate postures that help breathing, but the nerves of COVID-19 patients cannot withstand the forces that others can generally tolerate,” Franz said. Told.
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According to scientists, 12-15% of the most severe COVID-19 patients have permanent neuropathy, and Franz estimates that it counts in thousands of patients worldwide.
“If you take our numbers and estimate them, it’s underestimated,” Franz said.
“I noticed that the patient was putting a lot of pressure on my elbows or neck, so I made some adjustments to the way the joints were placed and put extra pads under the elbows and knees where the most pressure was applied. I put it in, “He added.
Researchers point out that the most common injuries were wrist drops, foot drops, hand loss, and shoulder freezing, but some patients had as many as four different nerve damage sites. Did.
Citing previous studies, scientists have said that therapeutic nerve stimulation may work to help nerve regeneration.
However, they added that many patients have pre-existing conditions that interfere with nerve regeneration, such as diabetes, and are less likely to restore full function.
“This can pose permanent difficulties for important hand functions such as walking and writing and manipulating computers and cell phones,” Franz said.
Researchers are currently working on pressure maps of nerve-sensitive hotspots, radiology and skin sensors to record injuries, and say they can help identify better “prone” location strategies.
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