PeerPOV: The Pulse on Medicine

Awake Prone Positioning Key to COVID; Benefits and Revenue with RPM; Paraspinous Tension Band for Spinal Stenosis

Physician's Weekly Season 1 Episode 27

This podcast is sponsored by Anelto, a leading technology platform that enables innovative healthcare solutions to keep seniors connected to healthcare providers from anywhere. Visit www.anelto.com.

Welcome to this episode of Physician’s Weekly Podcast. My name is Dr. Rachel Giles, from Medicom Medical Publishers, in collaboration with Physician’s Weekly. We have 3 great in-depth interviews for you this week covering a new trial with promising results to relieve common lower back pain, remote patient monitoring of senior citizens, and a trial showing that having COVID patients position themselves in the prone position, so-called “awake prone positioning”, has improved outcomes in patients with severe COVID-19.     

Todd Alamin, MD, spinal surgeon at Stanford University: About 140,000 back pain patients are treated with lumbar fusion in the US every year, and we discuss their clinical trial data suggesting that perioperative outcomes are far better using a perispinous tension band after decompression, as opposed to lumbar fusion after decompression, with at least identical, if not better, long term results

Later in this episode, Physician’s Weekly speaks with Jie Li, PhD, RRT, RRT-ACCS, RRT-NPS from Rush University in Chicago and Professor Stephan Ehrmann, MD, PhD, from the Intensive Care Unit at the University Hospital in Tours, France about their recent study published in the Lancet Respiratory Medicine looking at awake prone positioning in patients with severe COVID-19. In this prospectively designed, multicenter, international, randomized, open-label meta-trial, with a large sample size (1121 patients), these 2 researchers found that awake prone positioning reduced the incidence of treatment failure within 28 days of enrolment (the primary composite outcome of intubation or death) in patients with acute severe hypoxemic respiratory failure due to COVID-19 supported with high-flow nasal cannula.

Also in this episode, our correspondent Dylan Prentner speaks with Mark Denissen , the President and Chief Executive Officer of Anelto about remote patient monitoring  (RPM) of seniors by real-time symptom tracking. Anelto RemoteCare tracks patient engagement, identifies common requests, questions, and commands; and even tracks user responses and adherence to protocols with alerts and reminders.

Technologies such as Remote Patient Monitoring are helping transform senior patient care, ensuring patient safety and well-being while ​continuing to live independently. Most ​RPM ​solutions​ ​are not developed specifically with the senior population in mind, especially those with chronic conditions.  ​For seniors, RPM needs to be a complete solution that is easy to use with 24/7 access to care management providers. ​ Visit www.anelto.com.

Ehrmann S, Li J, et al; Awake Prone Positioning Meta-Trial Group. Awake prone positioning for COVID-19 acute hypoxaemic respiratory failure: a randomised, controlled, multinational, open-label meta-trial. Lancet Respir Med. 2021 Aug 20:S2213-2600(21)00356-8. 

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Thanks for listening!