Transdermal Fentanyl patch: An approach to enhance tolerance of conscious proning in COVID-19 patients | Zendy

MBBS Sowmia Mammen | Zendy; MBBS Beena Yousuf | Zendy; MBBS Mohammad Shamsah | Zendy

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Transdermal Fentanyl patch: An approach to enhance tolerance of conscious proning in COVID-19 patients

Author(s) -

MBBS Sowmia Mammen,

MBBS Beena Yousuf,

MBBS Mohammad Shamsah

Publication year - 2020

Publication title -

journal of opioid management

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.331

H-Index - 39

eISSN - 2375-0146

pISSN - 1551-7489

DOI - 10.5055/jom.2020.0576

Subject(s) - medicine , ards , anesthesia , covid-19 , prone position , fentanyl , ventilation (architecture) , transdermal , oxygenation , intensive care medicine , transdermal patch , lung , pharmacology , mechanical engineering , disease , infectious disease (medical specialty) , engineering

The COVID-19 ARDS appears to have worse outcomes than ARDS from other causes. It is a predictable serious complication and the key strategy is to maintain oxygenation. Adopting the prone position for conscious COVID-19 patients requiring basic respiratory support, is shown to benefit patients in terms of improving oxygenation, reducing the need for invasive ventilation and potentially even reducing mortality. Cough and myalgia are the common and most distressing symptoms seen in conscious COVID-19 patients which can impair tolerance to awake proning. Modified awake proning with application of transdermal fentanyl patch (TFP) can improve the compliance to conscious proning in COVID-19 patients.

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