A comparative study of supine lying, side lying and prone positioning on oxygen saturation, in mechanically ventilated patients, in acute respiratory failure

Patil, Prajakta; Nagarwala, Raziya

doi:10.18203/2320-6012.ijrms20150241

Cited by 2 publications

(10 citation statements)

References 23 publications

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“…Our results do not support the information in the literature. Patil and Nagarwala 16 found that oxygen saturation improved in the lateral down position when compared with the supine position, but this improvement was not significant. Yeaw, in patients with unilateral lung disease, positioned the healthy lung in the lateral down position, and the diseased lung in the lateral down position and in the semi‐Fowler's position; it was concluded that there was no statistically significant relationship between oxygenation levels and the position 14 .…”

Section: Discussionmentioning

confidence: 95%

“…Shah et al 4 conducted a study with 30 mechanically ventilated ARDS patients to compare lying on the side vs semi‐Fowler's position; they stated that semi‐Fowler's positioning was better at improving oxygenation. Another author reported that oxygen saturation improved in the prone position compared with the supine position 16 ; the results of these studies are different and contradictory. There are few studies on the effect of body positions on oxygenation in patients with both unilateral and bilateral lung disease.…”

Section: Introductionmentioning

confidence: 98%

“…Another author reported that oxygen saturation improved in the prone position compared with the supine position 16 ; the results of these studies are different and contradictory. There are few studies on the effect of body positions on oxygenation in patients with both unilateral and bilateral lung disease.…”

Section: Introductionmentioning

confidence: 99%

“…Researchers have implemented studies on the effects of different positions on oxygen saturation and/or vital signs in healthy patients 2 . They have also examined the effects of different positions on oxygen saturation and/or vital signs in patients with unilateral and asymmetric pleural effusions, 12 in patients with unilateral lung disease, 13,14 in patients with acute lung injury and/or acute respiratory failure patients, 15 in intensive care patients, 1 in recipients of a single lung transplant, 4 in preterm infants, 5 and in mechanically ventilated acute respiratory distress syndrome (ARDS) patients 4,16 …”

Section: Introductionmentioning

confidence: 99%

“…2 They have also examined the effects of different positions on oxygen saturation and/or vital signs in patients with unilateral and asymmetric pleural effusions, 12 in patients with unilateral lung disease, 13,14 in patients with acute lung injury and/or acute respiratory failure patients, 15 in intensive care patients, 1 in recipients of a single lung transplant, 4 in preterm infants, 5 and in mechanically ventilated acute respiratory distress syndrome (ARDS) patients. 4,16 Yeaw 14 concluded that there was no statistically significant relationship between positions and the oxygenation level or systolic blood pressure, but the diastolic blood pressure, respiration, and pulse varied significantly with the position in patients with unilateral lung pathology. In 2000, Cho and Lee 13 found that a healthy lung in the lateral down position was the most effective position for improving oxygenation in patients with unilateral lung disease.…”

Section: Introductionmentioning

confidence: 99%

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The effects of different positions on saturation and vital signs in patients

Alan

Khorshıd

2019

Nursing in Critical Care

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Background Patient positioning is an independent nursing intervention and may increase peripheral oxygenation for patients with lung disease. Few studies have been conducted on the effect of body positions on oxygenation in patients with lung disease. Aims and objectives To investigate the effects of five different positions on peripheral oxygen saturation (SpO2) and vital signs in patients with lung disease. Design A semi‐experimental study was conducted. Methods Consecutive samples were recorded from critical care patients followed in the chest clinic of a university hospital. A total of 109 patients with lung disease were recruited. Patients who were able to lie in all positions, and who had unilateral or bilateral lung disease documented by a medical diagnosis by a physician were included in this study. The SpO2 and vital signs were measured at each position three times. Results For patients with right, left, and bilateral lung disease, lying on the right side of the body at 45 in bed, the SpO2 was higher, but this difference was not statistically significant. There was a significant difference at 40 minutes between the pulse rate in patients with left and bilateral lung disease, but not in patients with right lung disease. No significant differences were found between respiratory rates and body temperature in patients in any of the three groups at 10, 25, and 40 minutes. Conclusions Although this difference was not statistically significant, lying on the right side of the body at 45 in bed can be an effective position for improving oxygenation in all patients with lung disease. Relevance to Clinical Practice As there is insufficient evidence to suggest a specific position, further studies are needed. This study provides evidence that the best oxygenation in patients with unilateral and bilateral lung disease can be obtained by determining the appropriate position for critical care nurses.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effects of different positions on saturation and vital signs in patients

Alan

Khorshıd

2019

Nursing in Critical Care

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Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

Sayed¹,

Mahmoud²,

Mahmud³

2020

Int. J. Res. Paediatric Nurs.

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Prone position may play an important role in improving and maintaining the optimal neonatal physiological parameters within desirable ranges. Aim: This study aimed to investigate the effect of prone position for neonatal physiological parameters during non-invasive respiratory support. Time series quasi-experimental research design was carried out on a randomized purposive sample of 60 newborn infants attending the Neonatal Intensive Care Unit (NICU) of El Manial University Hospital (Kasr Al Aini), (30 control group, and 30 intervention groups). Neonatal assessment and Physiological parameters tools were utilized for data collection. Results: There was a significant mean difference between the intervention group (during prone position) and control group (during supine position) regarding respiratory rate, heart rate, SPO2 scores in three-time frames (during T0before intervention, T11 st 5 min, T22 nd 5 min T33 rd 5 min) at P˂0.00 but. Conclusion:Neonatal positioning in the prone position is a simple, non-invasive, and free of charge method that could lead to improve oxygenation in High-risk neonates undergoing noninvasive respiratory support (Nasal Continuous Positive Airway Pressure (NCPAP). Recommendations: Further studies needed to evaluate the effect of positioning change on high-risk neonates' Physiological parameters response.

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A comparative study of supine lying, side lying and prone positioning on oxygen saturation, in mechanically ventilated patients, in acute respiratory failure

Cited by 2 publications

References 23 publications

The effects of different positions on saturation and vital signs in patients

The effects of different positions on saturation and vital signs in patients

Effect of prone position on physiological parameters for neonates during noninvasive respiratory support

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