{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:40:02Z","timestamp":1761766802407,"version":"build-2065373602"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":147,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>With the progress of the coronavirus disease 2019 (COVID\u201019) pandemic, available data suggest lower complications and disease severity in children and young patients. Despite most paediatric cases being mild in severity, some children require intensive care and mechanical ventilation due to the development of paediatric severe acute respiratory distress. The use of adjuvant therapies in severely ill paediatric patients has not been reported widely in the literature. Prone positioning in spontaneously breathing children has, to our knowledge, not yet been described. In our report, the trachea of a 2\u2010year\u2010old child was intubated, and he was mechanically ventilated for severe bilateral pneumonia. The infant and his mother tested positive for severe acute respiratory syndrome coronavirus disease\u20102 (SARS\u2010CoV\u20102) infection with reverse transcription\u2010polymerase chain reaction testing from nasopharyngeal swabs. Immediately after tracheal extubation, the child developed severe respiratory distress and refractory hypoxia. Awake prone position was employed as a rescue therapy for the management of post\u2010extubation hypoxia, resulting in a dramatic improvement in oxygenation. Prone positioning in the paediatric patient may improve oxygenation and can be a useful adjuvant for respiratory therapy either before, during or after invasive mechanical ventilation. Awake prone position may be considered as an option for the management of COVID\u201019 in paediatric patients, but it requires patient cooperation.<\/jats:p>","DOI":"10.1002\/anr3.12084","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T09:20:23Z","timestamp":1606296023000},"page":"183-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Awake proning of a 2\u2010year\u2010old extubated child with severe COVID\u201019 pneumonitis"],"prefix":"10.1002","volume":"8","author":[{"given":"M. M.","family":"Alseoudy","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Faculty of Medicine Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. A.","family":"Abo Elfetoh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Faculty of Medicine Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. K.","family":"Alrefaey","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Medicine Faculty of Medicine Mansoura University Mansoura Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"National Institutes for Health.COVID\u201019 Treatment Guidelines. Special Considerations in Children.https:\/\/www.covid19treatmentguidelines.nih.gov\/special\u2010populations\/children\/(accessed 04\/10\/2020)."},{"key":"e_1_2_5_3_1","unstructured":"Centers for Disease Control and Prevention.Information for Pediatric Healthcare Providers.Coronavirus2020.https:\/\/www.cdc.gov\/coronavirus\/2019\u2010ncov\/hcp\/pediatric\u2010hcp.html(accessed 04\/10\/2020)."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.8539"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24762"},{"key":"e_1_2_5_6_1","article-title":"Characteristics and outcomes of children with coronavirus disease 2019 (COVID\u201019) infection admitted to US and Canadian pediatric intensive care units","author":"Shekerdemian LS","year":"2020","journal-title":"Journal of the American Medical Assocation: Pediatrics"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05591"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201704-343OT"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.2.229"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201909-1807OC"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00215"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:22:24Z","timestamp":1759922544000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1002\/anr3.12084"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12084","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2020,7]]},"assertion":[{"value":"2020-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}