Related Articles Nursing Management of Prone Positioning in Patients With COVID 19 Crit Care Nurse 2020 Dec 21 e1 e9 Authors Binda F Marelli F Galazzi A Pascuzzo R Adamini I Laquintana D Abstract BACKGROUND At the height of the coronavirus disease 2019 COVID 19 pandemic Italy had the highest number of deaths in Europe most occurred in the Lombardy region Up to 4 of patients with COVID 19 required admission to an intensive care unit because they developed a critical illness eg acute respiratory distress syndrome Numerous patients with acute respiratory distress syndrome who had been admitted to the intensive care unit required rescue therapy like prone positioning OBJECTIVES To describe the respiratory management of and the extensive use of prone positioning in patients with COVID 19 at the intensive care unit hub in Lombardy Italy METHODS A total of 89 patients 67 male median age 59 years range 23 80 years with confirmed COVID 19 who were admitted between February 23 and March 31 2020 were enrolled in this quality improvement project RESULTS Endotracheal intubation was required in 86 patients 97 Prone positioning was used as rescue therapy in 43 48 patients Significantly more younger patients age 59 years were discharged alive 43 of 48 90 than were older patients age 60 years 26 of 41 63 P 005 Among the 43 patients treated with prone ventilation 15 35 95 CI 21 51 died in the intensive care unit of which 10 67 P 001 were older patients CONCLUSIONS Prone positioning is one strategy available for treating acute respiratory distress syndrome in patients with COVID 19 During this pandemic prone positioning can be used extensively as rescue therapy per a specific protocol in intensive care units PMID 33341885 PubMed as supplied by publisher