Scoping Review: Pengaruh Posisi Prone terhadap Saturasi Oksigen (SPO2) pada Pasien Covid-19

Nur Azizah, Lisa Adhia Garina, Arief Guntara

Abstract


Abstract. One of the symptoms of Covid-19 is respiratory distress and is marked by a decrease in oxygen saturation. The causative treatment for Covid-19 is still under research. Therefore, supportive treatment is needed. One of the supportive treatment is to do the prone position. The study aimed to analyze the effect of Prone's position on oxygen saturation in Covid-19 patients. This research was conducted from 2019-2020.  The research was taken using the scoping review method with samples of international scientific articles that match the eligibility criteria. This study's results were taken from 3 databases, Springer Link, Science Direct, and Google Scholar, with 10,124 initial search results and ten articles matching eligibility criteria. As a result of 10 articles, one article stated no effect of prone position on increasing oxygen saturation. Nine other articles found an increase in oxygen saturation after the prone position. This study's conclusion is based on the dominant study showing that the prone position can increase oxygen saturation in Covid-19 patients.

Keywords: Covid-19, Prone Position, Oxygen Saturation.

Abstrak. Salah satu gejala dari Covid-19 adalah adanya gangguan pernapasan dan ditandai dengan adanya penurunan saturasi oksigen. Pengobatan kausatif untuk Covid-19 masih dalam penelitian. Oleh karena itu, diperlukan pengobatan suportif. Salah satu pengobatan suportif adalah dengan melakukan posisi prone. Tujuan penelitian untuk menganalisis pengaruh posisi prone terhadap saturasi oksigen pada pasien Covid-19.  Penelitian ini dilakukan dari 2019-2020. Penelitian diambil dengan metode scoping review dengan sampel artikel ilmiah nasional dan internasional yang memenuhi kriteria kelayakan. Hasil pada penelitian ini diambil dari 3 database yaitu Springer Link, Science Direct dan Google Scholar dengan hasil pencarian awal terdapat 10.124 dan artikel yang memenuhi kelayakan (elegible) ada 10 artikel. Hasil dari 10 artikel, satu artikel menyatakan tidak ada pengaruh posisi prone pada peningkatan saturasi oksigen. Sembilan artikel lainnya mendapatkan adanya peningkatan saturasi oksigen setelah dilakukan posisi prone. Kesimpulan pada penelitian ini berdasarkan kajian yang dominan menunjukkan bahwa posisi prone dapat meningkatkan saturasi oksigen pada pasien Covid-19.

Kata Kunci: Covid-19, Posisi Prone, Saturasi Oksigen


Keywords


Covid-19, Posisi Prone, Saturasi Oksigen

References


References

WHO China Office. WHO China Coronavirus (COVID-19) in China. [diunduh 01 Januari 2021]. Tersedia dari: https://www.who.int/china/emergencies/coronavirus-(covid-19)

Kesehatan K. Pedoman pencegahan dan pengendalian corona virus deases (covid-19). Kementrian Kesehat. 2020;5:178.

Respati T, Rathomi HS. Kopidpedia. Journal of Chemical Information and Modeling. 2019;53:1689–99.

WHO. Who covid-19 global table data january 1st 2021 at 5 [diunduh 01 Januari 2021]. Tersedia dari: https://covid19.who.int/table/

COVID-19 STP. Peta sebaran | satgas penanganan covid-19 [diunduh 01 Januari 2021]. Tersedia dari: https://covid19.go.id/peta-sebaran

WHO. Who coronavirus disease (covid-19) dashboard | who coronavirus disease (covid-19) dashboard [diunduh 01 Januari 2021]. Tersedia dari: https://covid19.who.int/?gclid=CjwKCAjwn K36BRBVEiwAsMT8WJ3y00_BUzvrLsvbl3uthuoTH_Occ45gyEUbpYRyEqAzll3aZB6TYxoCcM0QAvD_BwE

WHO. Clinical management of covid-19 who. 2016;4(1):64–75.

Xie J, Covassin N, Fan Z, Singh P, Gao W, Li G, dkk. Association between hypoxemia and mortality in patients with covid-19. Mayo Clin Proc. 2020 Juni;95(6):1138–47.

Becker RC. Covid-19 treatment update: follow the scientific evidence. J Thromb Thrombolysis. 2020;50(1):43–53.

Ferrando C, Mellado-Artigas R, Gea A, Arruti E, Aldecoa C, Adalia R, dkk. Awake prone positioning does not reduce the risk of intubation in covid-19 treated with high-flow nasal oxygen therapy: a multicenter, adjusted cohort study. Crit Care. 2020;24(1):1–11.

Padrão EMH, Valente FS, Besen BAMP, Rahhal H, Mesquita PS, de Alencar JCG, dkk. Awake prone positioning in covid-19 hypoxemic respiratory failure: exploratory findings in a single-center retrospective cohort study. Acad Emerg Med. 2020.

Dubosh NM, Wong ML, Grossestreuer A V., Loo YK, Sanchez LD, Chiu D,dkk. Early, awake proning in emergency department patients with covid-19. Am J Emerg Med. 2020.

Coppo A, Bellani G, Winterton D, Di Pierro M, Soria A, Faverio P, dkk. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to covid-19 (pron-covid): a prospective cohort study. Lancet Respir Med. 2020;8(8):765–74.

Retucci M, Aliberti S, Ceruti C, Santambrogio M, Tammaro S, Cuccarini F, dkk. Prone and lateral positioning in spontaneously breathing patients with covid-19 pneumonia undergoing noninvasive helmet cpap treatment. Chest. 2020;158(6):2431–5.

Weiss TT, Cerda F, Scott JB, Kaur R, Sungurlu S, Mirza SH, dkk. Prone positioning for patients intubated for severe acute respiratory distress syndrome (ards) secondary to covid-19: a retrospective observational cohort study. Br J Anaesth. 2020 Juli:1–8.

Doussot A, Ciceron F, Cerutti E, Salomon du Mont L, Thines L, Capellier G, dkk. Prone positioning for severe acute respiratory distress syndrome in covid-19 patients by a dedicated team: a safe and pragmatic reallocation of medical and surgical work force in response to the outbreak. Ann Surg. 2020;272(6):e311–5.

Taboada M, Rodríguez N, Riveiro V, Baluja A, Atanassoff PG. Prone positioning in awake non-icu patients with ards caused by covid-19. Anaesth Crit Care Pain Med. 2020 Oct;39(5):581–3.

Alison E. Thompson, MD Benjamin L. Ranard, MD YingWei, PhD Sanja Jelic M. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159–68.

Solverson K, Weatherald J, Parhar KKS. Tolerability and safety of awake prone positioning covid-19 patients with severe hypoxemic respiratory failure. Can J Anesth. 2020.

McNicholas B, Cosgrave D, Giacomini C, Brennan A, Laffey JG. Prone positioning in covid-19 acute respiratory failure: just do it? Br J Anaesth. 2020;125(4):440–3.

Qadri SK, Ng P, Toh TSW, Loh SW, Tan HL, Lin C Bin, dkk. Critically ill patients with covid-19: a narrative review on prone position. Pulm Ther. 2020;6(2):233–46.

Johnson NJ, Luks AM, Glenny RW. Gas exchange in the prone posture. Respir Care. 2018;62(8):1097–110.

Garg R. Conscious proning or mixed positioning for improving oxygenation—covid-19 bring many changes! Indian J Crit Care Med. 2020;24(10):893–4.

Messerole E, Peine P, Wittkopp S, Marini JJ, Albert RK. The pragmatics of prone positioning. Am J Respir Crit Care Med. 2002;165(10):1359–63.

Daniel J-V, Pablo M-R, Carlos S-L, Luis Z-J, Arturo O-L, Guillermo F, dkk. Prone position in non-intubated patients with covid-19, a useful maneuver to avoid mechanical ventilation: a literature review. J Adv Med Med Res. 2020;32(12):5–14.




DOI: http://dx.doi.org/10.29313/kedokteran.v7i1.26739

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