Prone positioning in acute respiratory distress syndrome
Kristy Gibson Nurse, Kent Hospital intensive care unit, Warwick, Rhode Island, United States
Marlene Dufault Nurse, professor, College of Nursing, University of Rhode Island, Newport Hospital, Newport, Rhode Island, United States
Kathy Bergeron Clinical nurse specialist, emergency department, intensive care unit stroke team co-ordinator, Newport Hospital life saving skills classes co-ordinator, Newport Hospital, Newport, Rhode Island, United States
Acute respiratory distress syndrome (ARDS) is a condition with a high morbidity and mortality rate, and treatment is often long and costly. Prone positioning is a rarely used intervention for patients with this syndrome, although research suggests it may be effective. A literature search was undertaken to examine the effects of prone positioning on oxygenation, morbidity and mortality in patients with ARDS. It revealed that prone positioning, when used with low tidal volume ventilation over an extended period, may reduce mortality rates in selected patients with severe ARDS. The selection of patients with severe ARDS for prone positioning should be done on a case-by-case basis to maximise benefits and minimise complications. Further research is required on the use of prone positioning in patients with severe ARDS to support or disclaim the therapy’s use in practice, and to compare confounding variables such as ideal prone duration and mechanical versus manual pronation.
Nursing Standard. 29, 50, 34-39. doi: 10.7748/ns.29.50.34.e9261Correspondence
All articles are subject to external double-blind peer review and checked for plagiarism using automated software.
Received: 25 June 2014
Accepted: 05 February 2015