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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Prone positioning: is it safe and effective?
Susan Dirkes1, Sharon Dickinson, Renee Havey
1Surgical Intensive Care and Progressive Care, University of Michigan, USA.
Critical Care Nursing Quarterly
|December 14, 2011
Summary
Prone positioning therapy improves oxygenation in 70-80% of patients with acute respiratory distress syndrome (ARDS). While risks exist, standardized protocols and trained staff enable safe and effective prone ventilation for severe ARDS.
Area of Science:
- Critical Care Medicine
- Pulmonary Medicine
- Respiratory Therapy
Background:
- Prone positioning has been a recognized treatment for acute lung injury and ARDS since the 1970s.
- This therapy aims to improve lung function in patients with severe hypoxemic and acute respiratory failure.
Purpose of the Study:
- To review the efficacy and safety of prone positioning in managing severe acute respiratory distress syndrome (ARDS).
- To highlight the benefits of prone ventilation and associated potential complications.
Main Methods:
- Review of existing literature and clinical practices regarding prone positioning in ARDS management.
- Analysis of physiological effects, including increased end-expiratory lung volume and alveolar recruitment.
Main Results:
- Prone positioning consistently improves systemic oxygenation in 70% to 80% of ARDS patients.
- Potential complications include unplanned extubation, dislodged lines/tubes, and staff injuries.
Conclusions:
- Prone positioning is a viable, cost-effective therapy for severe ARDS.
- Safe implementation requires standardized protocols and a well-trained critical care team.
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