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Updated: Dec 3, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Does proning on NIV improve oxygenation?
Syed Muhammad Tahir Nasser1, Madan Narayanan2
1Intensive Care, East Surrey Hospital, Redhill, UK syed.nasser1@nhs.net.
Abstract:
Proning intubated patients with acute respiratory distress syndrome (ARDS) is an established practice to improve oxygenation temporarily. We present two cases of patients on our intensive care unit with ARDS, on non-invasive ventilation (NIV), in whom proning improved oxygenation at a stage when intubation was the next step. We discuss the mechanisms by which proning improves oxygenation as well as the potential risks proning on NIV brings, for which we make specific recommendations.
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