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

Sowmia Mammen, MBBS, DNB; Beena Yousuf, MBBS, FCPS; Mohammad Shamsah, MBBS, FRCPC

doi:10.5055/jom.2020.0576

Authors

Sowmia Mammen, MBBS, DNB
Beena Yousuf, MBBS, FCPS
Mohammad Shamsah, MBBS, FRCPC

DOI:

https://doi.org/10.5055/jom.2020.0576

Keywords:

Transdermal fentanyl patch, concious proning, COVID-19, tolerance, enhance

Abstract

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.

Author Biographies

Sowmia Mammen, MBBS, DNB

DNB (Anaestheia), Registrar, Department of Anaesthesia, Critical Care and Pain Management, Al Adan Hospital, Ministry of Health, Kuwait

Beena Yousuf, MBBS, FCPS

Specialist, Department of Anaesthesia, Critical Care and Pain Management, Al Adan Hospital, Ministry of Health, Kuwait

Mohammad Shamsah, MBBS, FRCPC

Consultant, Department of Anaesthesia, Critical Care and Pain Management, Al Adan Hospital, Ministry of Health, Kuwait

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