My name is Jeff Guy and this is ICRounds.

Welcome back to ICRounds. This is Jeff Guy. This is the third conversation that I'm having with you about.

Treatment methodologies that may be beneficial and patients that are suffering from a COVID infection.

The first was a review of the surviving sepsis guidelines specific to COVID, which was an evidence-based review that looked at what evidence was available specific to COVID,

treatment of ARDS, or what we had learned from the SARS pandemics in years past.

The second is the management of ARDS, an approach to mechanical ventilation,

and the treatment of the hypoxemic patient.

This is going to be even more specific onto that, is that what is the approach to prone

ventilation?

Prone ventilation has been called out in the surviving sepsis guidelines as an approach

to the management of patients with ARDS and SARS.

For some folks, this is rather old school.

They use prone ventilation as their general approach every

day. And other patients, this will be new. I've had a lot of people come up to me and ask me,

well, what is prone ventilation? I understand what it is, but how does it work? It seems to some

folks that they would rather try other types of, quote, salvage methodologies before going to prone.

What I hope to show to you today is that prone mechanical ventilation does provide a survival benefit for patients with ARDS.

We're going to go back and look at some of the evidence that's been around for years and actually go back probably all the way back to the 70s and really

explain where prone ventilation got its initial start.

Then I want to kind of hopefully change your thinking a little bit about prone ventilation that

it's not necessarily an approach to be used in salvage therapy for ARDS.

Perhaps we need to be putting this more in the front part of our

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