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Related Experiment Video

Updated: Nov 21, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Awake Proning: Current Evidence and Practical Considerations.

Kanwalpreet Sodhi¹, Gunjan Chanchalani²

¹Department of Critical Care, Deep Hospital, Ludhiana, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine

|January 15, 2021

Summary

Awake proning, positioning patients on their stomach, improves oxygen levels in patients with acute hypoxemic respiratory failure. This minimally invasive technique gained acceptance during the COVID-19 pandemic for its safety and effectiveness.

Keywords:

Acute respiratory distress syndrome Awake proning Awake self-proning COVID pneumonia COVID-19

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Area of Science:

Critical Care Medicine
Pulmonology
Respiratory Therapy

Background:

Prone positioning is a long-established method for improving oxygenation.
Awake proning in non-intubated patients has recently gained significant traction due to the COVID-19 pandemic.
The need to conserve ventilators and reduce intensive care unit burden, coupled with concerns about invasive ventilation outcomes, propelled awake proning.

Purpose of the Study:

To review the existing literature on awake proning in non-intubated patients.
To describe a safe and practical protocol for implementing awake proning.
To highlight the benefits of awake proning in managing acute hypoxemic respiratory failure.

Main Methods:

Literature review of studies on awake proning in non-intubated patients.
Development of a safe protocol for practicing awake proning.
Analysis of the current evidence supporting awake proning.

Main Results:

Awake proning is a globally accepted therapy for improving oxygenation in acute hypoxemic respiratory failure.
The intervention is associated with minimal risk and requires limited assistance.
Evidence supports its use in COVID-19 patients experiencing respiratory distress.

Conclusions:

Awake proning is an effective and safe strategy for non-intubated patients with acute hypoxemic respiratory failure.
The protocol described provides practical guidance for clinicians.
Awake proning offers a valuable alternative to invasive ventilation in specific patient populations.