Prone positioning for patients with ARDS

Hudack, Michael E.

doi:10.1097/01.ccn.0000412309.28066.f0

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…However, the results achieved statistical significance only in the study by Guerin et al [ 10 ]. Although it cannot be determined whether initiation of prone positioning alone impacted the results, timing should be considered a necessary element of developing a prone positioning protocol [ 1 - 2 , 5 , 7 - 8 ]. Unless a patient has specific risk factors for which prone positioning is contraindicated, it seems plausible to initiate this intervention as early as possible, considering there are clear benefits to initiating the prone position, i.e., improved oxygenation, decreased atelectasis, and decreased risk of ventilator-associated pneumonia.…”

Section: Reviewmentioning

confidence: 99%

“…Physiological effects include improved oxygenation, decreased atelectasis, an increase in the average ratio of PaO 2 /FiO 2 by 35 mm Hg, and a reduction in the relative shunt fraction by approximately 30% [1,2,8]. Placing a patient in a prone position may also lessen the potential complications of ventilator-associated infections such as pneumonia by promoting drainage of secretions from the dorsal lung to the ventral trachea [5,7,8]. The correlation between prone positioning and high positive end-expiratory pressure (PEEP) ventilation has been explored, and evidence suggests prone positioning may reduce the adverse effects of PEEP, decreasing barotrauma and subsequent ventilator-induced lung injury [8].…”

Section: Introductionmentioning

confidence: 99%

“…Rotating the patient into the prone position was first proposed in 1974 [ 6 ]. Some noted benefits of prone positioning were improved oxygenation and even reduced mortality rates [ 5 - 7 ]. Physiological effects include improved oxygenation, decreased atelectasis, an increase in the average ratio of PaO 2 /FiO 2 by 35 mm Hg, and a reduction in the relative shunt fraction by approximately 30% [ 1 , 2 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Influencing Prone Positioning in Treating Acute Respiratory Distress Syndrome and the Effect on Mortality Rate

Dardeir

Marudhai

Patel

et al. 2020

Cureus

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Acute respiratory distress syndrome (ARDS) is often associated with severe hypoxemia and a high mortality rate. Prone positioning is a well-established intervention for ARDS. It has been shown to improve oxygenation and prevent ventilator-induced lung injury due to the more uniform distribution of lung stress and strain. This narrative review aims to compare the various factors that may influence how prone positioning affects mortality rates. We will examine the duration of time a patient is in the prone position, severity of ARDS, use of lung-protective ventilation, and the time elapsed between ARDS diagnosis and placing a patient in the prone position. A literature review on prone positioning in ARDS was performed and searched data from PubMed and Google Scholar for articles published from 2010 to 2020. Although no single variable used during prone positioning reduces mortality rates in ARDS patients, combining several optimal conditions may yield increased survival benefits. Early initiation of extended prone positioning sessions combined with low tidal volumes shows encouraging results in severe ARDS patients. Future research on this subject should focus on further examining these variables in a study enrolling a larger number of subjects in a setting with adequately trained staff familiar with proper prone positioning techniques.

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Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Influencing Prone Positioning in Treating Acute Respiratory Distress Syndrome and the Effect on Mortality Rate

Dardeir

Marudhai

Patel

et al. 2020

Cureus

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The Advanced Critical Care Practitioner

McGee

Downham

2019

Advanced Practice in Healthcare

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The Use of the Pronation Position in Patient With Covid Pneumonia - Case Study

Hůsková¹,

Kudlová²,

Kubicová³

et al. 2022

Osetrovatelske perspektivy

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Background: The pronation position is a forced position on the stomach that is used in cases of acute respiratory failure. aim: Describe and analyze the effect of pronation position during artificial lung ventilation on ventilation parameters. Methods: Qualitative research by means of case study. In the course of intwensive care the patient was monitored and nursed by one of the authors of this study. Based on approval by the medical facility in question pictures were taken with regard to keeping the patient anonymous. In the course of treatment and on its ending description and analysis of the results were conducted and entered into the patient´s file. results: This case study confirms the goal. The pronation position of particular patients improved ventilation parameters with decrease in pCO2 and stabilization pO2. There was a quick effect and improved oxygenation within a short period of time (within 48 hours) from being admitted to intensive care with mild adverse effects on returning from the pronation position (GIT stagnation, acracyanosis of the limbs with starting ischemic defects on the toes, eye chemosis). conclusion: Prevalent positive of the pronation position in this patient led to stabilization of his health condition within 72 hours from being admitted to intensive care. Then it was possible to move him to a subsequent care bed for further treatment. The use of the pronation position is one of the possible solutions when there are not enough intensive care beds and staff in times of a covid pandemic. However, it is necessary to perform further monitoring to compare the pros and cons of this method.

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Prone positioning for patients with ARDS

Cited by 3 publications

References 9 publications

Factors Influencing Prone Positioning in Treating Acute Respiratory Distress Syndrome and the Effect on Mortality Rate

Factors Influencing Prone Positioning in Treating Acute Respiratory Distress Syndrome and the Effect on Mortality Rate

The Advanced Critical Care Practitioner

The Use of the Pronation Position in Patient With Covid Pneumonia - Case Study

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