Prone positioning in trauma patients: nursing roles and responsibilities

One of the leading causes of mortality in the intensive care unit is Acute Respiratory Distress Syndrome (ARDS). Acute Respiratory Distress Syndrome can occur as a result from multiorgan dysfunction syndrome and sepsis. In the trauma population, ARDS accounts for an increase in mortality as well as morbidity and disability. Nurses have an essential role in the care of the trauma patients with ARDS or acute lung injury patients. Respiratory treatments such as airway pressure release ventilation and chest physiotherapy are utilized often for ARDS treatment. A lesser used therapy, intermittent prone positioning has also been found to be effective in increasing the pulmonary gas exchange in trauma patients. This article will explain the nursing roles and responsibilities in the initiation, continuation, and cessation of intermittent prone positioning.