Evaluation of a prone support cushion for use in chronic pain procedures and prone position surgery

Minnis, Peter; Walmsley, Chris; Silva, Egidio Da

doi:10.1016/j.jclinane.2021.110307

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Currently, the application of prone position tools (such as soft pillows, cushions, and frame) during prone position surgery and prone position ventilation is aimed at reducing adverse events such as pressure injuries and nerve injuries. Minnis et al reported that using Tony prone support, a polyurethane foam fold support cushion, can reduce the incidence of pressure marks and neuropraxias, as well as minimizing the risk of orbital and maxillofacial injury during spinal surgery or chronic pain procedures in the prone position [19]. Similar ndings were investigated by Ruhland et al, wherein applying a polyurethane cushions to the thoracic, pelvis, and head of two patients in prone position ventilation due to ARDS and COVID-19 can prevent pressure injuries [20].…”

Section: Discussionmentioning

confidence: 99%

Effects of modular new prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19: A randomized controlled trial

Huang¹,

Ke²,

Song³

et al. 2023

Preprint

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Background Prone position (PP) ventilation has become an effective and simple treatment for acute respiratory distress syndrome (ARDS) due to COVID-19; however, prolonged prone position not only leads to patient discomfort, but also reduces patient compliance, and is prone to causing adverse events such as pressure injuries, pain, and dizziness. We aim to explore the effects of modular new prone positioning tools in patients with ARDS due to COVID-19. Methods 168 patients with ARDS due to COVID-19 were selected; however, 92 were later disqualified. 76 patients were randomly assigned to the observation group (n = 38) and the control group (n = 38). The observation group used modular new prone positioning tools to implement prone ventilation therapy while the control group used soft pillows to implement prone ventilation therapy. Comfort indicators (including time spent implementing PP, duration of PP, number of postural adjustments during PP, and duration time when first needing to adjust position), adverse events (including artificial airway kinking, shortness of breath, dizziness, and stress injury), and efficacy indicators (including intubation and mortality) were collected. The feeling of comfort, the occurrence of adverse events, and the efficacy of two groups of patients were also evaluated. Results The observation group had shorter time spent implementing PP(2.74 ± 0.86 vs. 4.64 ± 1.02, P < 0.001), longer duration of PP (14.02 ± 1.01 vs. 13.03 ± 0.66, P < 0.001), duration time when first needing to adjust position (59.89 ± 12.73 vs. 36.57 ± 8.69, P < 0.001), and lower number of postural adjustments during PP (11.03 ± 2.67 vs. 17.95 ± 2.58, P < 0.001) in comparison with the control group. No significant differences in intubation (9 vs. 11, P = 0.602) and mortality (4 vs. 6, P = 0.602) were found in both groups. However, in terms of adverse events, the observation group showed lower artificial airway kinking (5 vs. 23, P < 0.001), pain (7 vs. 21, P = 0.001), shortness of breath (2 vs. 9, P = 0.022), dizziness (0 vs. 5, P = 0.021), and stress injury (7 vs. 26, P < 0.001) than the control group. Conclusion Utilizing modular new prone position tools to implement prone ventilation therapy not only improves the efficiency of prone position execution and patient comfort, but also reduces the incidence of adverse events. However, it cannot change the intubation rate and mortality rate of patients.

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Section: Discussionmentioning

confidence: 99%

Effects of modular new prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19: A randomized controlled trial

Huang¹,

Ke²,

Song³

et al. 2023

Preprint

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Effects of innovative modular prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19 during awake prone position: a prospective randomized controlled trial

Huang,

Tian,

Song

et al. 2024

Eur J Med Res

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Objectives Our aim is to investigate the effects of a innovative modular prone positioning tools on patients with acute respiratory distress syndrome (ARDS) caused by COVID-19 during awake prone positioning (AW-PP). Methods This prospective randomized controlled study initially enrolled 168 patients with COVID-19 due to ARDS. However, 92 were subsequently disqualified, leaving 76 patients who were randomly assigned to either the observation group (n = 38) or the control group (n = 38). The observation group utilized innovative modular prone positioning tools for non-invasive respiratory support (NIRS), while the control group used soft pillows for the same treatment. Data were collected on comfort levels, adverse events, and efficacy indicators. Additionally, the comfort, incidence of adverse events, and treatment efficacy in both groups were evaluated. Results The observation group had shorter the daily duration spent on executing the AW-PP (2.74 ± 0.86 min vs. 4.64 ± 1.02 min, P < 0.001), longer the daily total AW-PP (8.52 ± 1.01 h vs. 6.03 ± 0.66 h, P < 0.001), longer the daily duration until the first position adjustment (59.89 ± 12.73 min vs. 36.57 ± 8.69 min, P < 0.001), and lower the daily frequency of position adjustments during the AW-PP (11.03 ± 2.67 vs. 17.95 ± 2.58, P < 0.001) in comparison with the control group. No significant differences were observed in intubation rates, mortality, the daily number of hours under HFNO and NIV, escalated to NIV from HFNO, and hospital length of stay between the groups ( P > 0.05). However, the observation group experienced significantly fewer adverse events, including kinking NIRS circuit, pain, shortness of breath, dizziness, and pressure ulcers ( P < 0.05). Conclusion Innovative modular prone positioning tools improved efficiency, comfort, and reduced adverse events during AW-PP but did not affect intubation rates or mortality. Supplementary Information The online version contains supplementary material available at 10.1186/s40001-024-02252-1.

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Evaluation of a prone support cushion for use in chronic pain procedures and prone position surgery

Cited by 2 publications

References 4 publications

Effects of modular new prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19: A randomized controlled trial

Effects of modular new prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19: A randomized controlled trial

Effects of innovative modular prone positioning tools in patients with acute respiratory distress syndrome due to COVID-19 during awake prone position: a prospective randomized controlled trial

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