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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Updated: Nov 5, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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Implementing a Multidisciplinary Prone Positioning Team.

Ellen H Elpern1, Patricia Nedved, Tyler Weiss

  • 1Ellen H. Elpern was an advanced practice nurse at Rush University Medical Center, Chicago, before her retirement in 2011 and has since been a regular volunteer, including on the multidisciplinary prone positioning team. Patricia Nedved is associate vice president and chief transformation officer in the Ambulatory Transformation Office; Tyler Weiss is a respiratory care practitioner and Ankeet D. Patel is clinical manager, adult care, both in the Department of Respiratory Care; and Flor Cerda is a staff nurse in the medical ICU, all at Rush University Medical Center. Contact author: Ellen H. Elpern, eelpern827@gmail.com . The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|May 19, 2021
PubMed
Summary
This summary is machine-generated.

A multidisciplinary team at Rush University Medical Center improved safe and efficient manual prone positioning for COVID-19 patients with respiratory failure. Their experiences highlight the benefits of teamwork in critical care settings.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Infectious Disease Epidemiology

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic significantly increased clinical demands, disrupting standard healthcare operations and resource availability.
  • Patients with severe COVID-19 often experience respiratory failure, necessitating advanced respiratory support strategies.
  • Effective management of respiratory failure is crucial for improving patient outcomes during pandemics.

Purpose of the Study:

  • To describe the creation and implementation of a multidisciplinary team for manual prone positioning in COVID-19 patients.
  • To evaluate the safety and efficiency of manual prone positioning delivered by a specialized team.
  • To share insights and recommendations for optimizing multidisciplinary team approaches in critical care.

Main Methods:

  • Formation of a dedicated, multidisciplinary team at Rush University Medical Center.
  • Implementation of standardized protocols for manual prone positioning.
  • Collection of team members' experiences and perceptions via a survey.

Main Results:

  • The multidisciplinary team successfully provided manual prone positioning for COVID-19 patients.
  • The team's approach enhanced the safety and efficiency of this critical intervention.
  • Team members reported positive experiences, underscoring the value of collaboration.

Conclusions:

  • A multidisciplinary team is effective for delivering manual prone positioning in COVID-19 respiratory failure.
  • Team-based care optimizes resource utilization and patient management during public health crises.
  • Further refinement of team structures and processes can improve critical care delivery.