Use of Prone Positioning in a Patient With Acute Respiratory Distress Syndrome

Laux, Lori; McGonigal, Michelle; Thieret, Terri; Weatherby, Laurie

doi:10.1097/01.cnq.0000314478.10120.f2

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…Specifi cally in extrapulmonary ARDS, injury of the alveolar epithelium and pulmonary vasculature leads to increased alveolar capillary permeability, causing alveolar and interstitial edema. 12,17,19 Damage of type II alveolar cells renders surfactant inactive, which contributes to atelectasis and decreased lung compliance and ultimately results in refractory hypoxia and respiratory failure. 12,17,19 Furthermore, edematous alveoli compress alveoli in dependent regions and the weight of the heart and abdominal contents of the sedated, often chemically paralyzed, patient contributes to the alveolar collapse.…”

Section: Ards Pathophysiology Review (In Relation To Prone Positioning)mentioning

confidence: 99%

“…Recent recommendations suggest that polyethylene-fi lm eye covers may be more effective than instilling drops or ointment to prevent corneal abrasions. 19 Nurses should also ensure that padding is not causing direct pressure on the eyes once the patient is positioned prone.…”

Section: Integumentary Concernsmentioning

confidence: 99%

“…25 Automated beds provide a mechanism to position the patient supine rapidly in the event of a cardiac arrest or hemodynamic instability. 19,25 Regardless of the method used to achieve the prone position, only trained teams who have completed staff education and demonstrated competency (Table 3) should be permitted to attempt this intervention. Positioning a patient prone is labor intensive and physically challenging for nursing staff.…”

Section: Procedures For Achieving Prone Positioningmentioning

confidence: 99%

“…ARDS develops as a result of direct (pulmonary) or indirect (extrapulmonary) lung injury 11,19 (Table 2). Specifi cally in extrapulmonary ARDS, injury of the alveolar epithelium and pulmonary vasculature leads to increased alveolar capillary permeability, causing alveolar and interstitial edema.…”

Section: Ards Pathophysiology Review (In Relation To Prone Positioning)mentioning

confidence: 99%

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Prone Positioning of Patients With Acute Respiratory Distress Syndrome

Drahnak

Custer

2015

Critical Care Nurse

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Effectively treating critically ill patients with acute respiratory distress syndrome (ARDS) is a challenge for many intensive care nurses. Multiple disease processes and injuries contribute to the complexity of ARDS and often complicate therapy. As a means of supportive care for ARDS, practitioners resort to rescue therapies to improve oxygenation and salvage the patient. The pathophysiology of ARDS and the use of prone positioning to improve pulmonary ventilation and oxygenation in ARDS patients are described. Educating nursing and medical staff on the use of prone positioning allows ease of patient placement with an emphasis on safety of both patients and staff. Scrupulous assessment of patients coupled with judicious timing of prone positioning expedites weaning from ventilatory support and contributes to positive outcomes for patients. (Critical Care Nurse. 2015;35[6]:29-37)

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Section: Ards Pathophysiology Review (In Relation To Prone Positioning)mentioning

confidence: 99%

Section: Integumentary Concernsmentioning

confidence: 99%

Section: Procedures For Achieving Prone Positioningmentioning

confidence: 99%

Section: Ards Pathophysiology Review (In Relation To Prone Positioning)mentioning

confidence: 99%

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Prone Positioning of Patients With Acute Respiratory Distress Syndrome

Drahnak

Custer

2015

Critical Care Nurse

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Prone positioning

Kennison¹,

Yost

2009

Nursing Critical Care

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Unavoidable Pressure Injury

Edsberg

Langemo

Baharestani

et al. 2014

Journal of Wound, Ostomy &Amp; Continence Nursing

163

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In the vast majority of cases, appropriate identification and mitigation of risk factors can prevent or minimize pressure ulcer (PU) formation. However, some PUs are unavoidable. Based on the importance of this topic and the lack of literature focused on PU unavoidability, the National Pressure Ulcer Advisory Panel hosted a multidisciplinary conference in 2014 to explore the issue of PU unavoidability within an organ system framework, which considered the complexities of nonmodifiable intrinsic and extrinsic risk factors. Prior to the conference, an extensive literature review was conducted to analyze and summarize the state of the science in the area of unavoidable PU development and items were developed. An interactive process was used to gain consensus based on these items among stakeholders of various organizations and audience members. Consensus was reached when 80% agreement was obtained. The group reached consensus that unavoidable PUs do occur. Consensus was also obtained in areas related to cardiopulmonary status, hemodynamic stability, impact of head-of-bed elevation, septic shock, body edema, burns, immobility, medical devices, spinal cord injury, terminal illness, and nutrition.

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Use of Prone Positioning in a Patient With Acute Respiratory Distress Syndrome

Cited by 5 publications

References 7 publications

Prone Positioning of Patients With Acute Respiratory Distress Syndrome

Prone Positioning of Patients With Acute Respiratory Distress Syndrome

Prone positioning

Unavoidable Pressure Injury

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