During the COVID-19 pandemic, prone positioning (PP) emerged as a widely used supportive therapy for patients with acute hypoxemic respiratory failure caused by COVID-19 infection. In particular, awake PP (APP)-the placement of non-intubated patients in the prone position-has gained popularity and hence is detailed first herein. This review discusses recent publications on the use of PP for non-intubated and intubated subjects with COVID-19, highlighting the physiological responses, clinical outcomes, influential factors affecting treatment success, and strategies to improve adherence with APP. The use of prolonged PP and the use of PP for patients undergoing extracorporeal membrane oxygenation are also presented.

中文翻译：

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COVID-19 引起的急性低氧性呼吸衰竭患者的俯卧位：翻转脚本。

在 COVID-19 大流行期间，俯卧位 (PP) 成为一种广泛使用的支持疗法，用于治疗因 COVID-19 感染引起的急性低氧性呼吸衰竭患者。特别地，清醒PP（APP）——将非插管患者置于俯卧位——已经流行，因此首先在本文中详细描述。本综述讨论了最近关于使用 PP 治疗 COVID-19 的非插管和插管受试者的出版物，重点介绍了生理反应、临床结果、影响治疗成功的影响因素以及提高 APP 依从性的策略。还介绍了延长 PP 的使用以及对接受体外膜肺氧合的患者使用 PP 的情况。