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Updated: Aug 30, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Effectiveness of prone position in spontaneously breathing patients with COVID-19: A prospective cohort study
Brigitta Fazzini1,2, Alex J Fowler1,3, Parjam Zolfaghari1,3
1Adult Critical Care Unit, The Royal London Hospital, London, UK.
Abstract:
We present a single centre study describing the effect of awake prone position (PP) on oxygenation and clinical outcomes in spontaneously breathing patients with novel coronavirus disease (COVID-19). Between 1st March and 30th April 2020, forty eight of 138 patients managed outside of the critical care unit with facemask oxygen, high flow nasal oxygen (HFNO) or continuous positive airway pressure (CPAP), underwent PP. Prone position was associated with significant improvement in oxygenation, lower ICU admission, tracheal intubation, and shorter ICU length of stay. Lack of response to PP may be an indicator of treatment failure, requiring early escalation.
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