Prone positioning in the patient who has acute respiratory distress syndrome: the art and science

Critical Care Nursing Clinics of North America
Kathleen M Vollman

Abstract

Acute respiratory distress syndrome (ARDS) remains a significant contributor to the morbidity and mortality of patients in the ICU. A variety of treatments are used to support the lung of the patient who has ARDS and improve gas exchange during the acute injury phase. It seems, however, that the simple, safe, and noninvasive act of prone positioning of the critically ill patient who has ARDS may improve gas exchange while preventing potential complications of high positive end-expiratory pressure, volutrauma, and oxygen toxicity. This article provides the critical care nurse with the physiologic rationale for use of the prone position, indications and contraindications for use, safe strategies for prone positioning, and care techniques and monitoring methods of the patient who is in the prone position.

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Citations

May 23, 2013·The Nurse Practitioner·Michael E Hudack
Jun 13, 2006·AACN Advanced Critical Care·Louise Rose, Adult Ed
May 16, 2006·The Nursing Clinics of North America·Mary Patricia O'Connell
Nov 23, 2006·Critical Care Nursing Clinics of North America·Kathleen M Vollman
Mar 25, 2008·Critical Care Nursing Quarterly·Lori LauxLaurie Weatherby
Jun 24, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Cindy L Munro, Aluko A Hope

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