Patients in respiratory distress can benefit from being in the prone position (lying on their stomachs), whether they are on a ventilator or not. Prone positioning (proning) seems to be especially helpful to COVID patients.
In ARDS, proning makes the ventilation pressure more even across the front and back of the lungs and can open up collapsed portions of the lung. Patients can and do self-prone; see below for a video to share with patients. However, proning must be done carefully as it can also be a way to spread infection. In addition, some conditions preclude using proning, like pregnancy or persistent mean aterial pressure <65 mmHg. Proning can also lead to problems like dislodging tubes and catheters, pressure sores, or nerve injuries. Many ideas have appeared online of various degrees of reliability, usefulness, and practicality. Our team is looking at those online resources and has found a few that we feel are the most reliable and practical. Other online resources we found are also listed below.
Proning seems to be uniquely helpful for COVID patients, but is not appropriate for all and should be done carefully to avoid spreading infection.
These are the TOP resources that our team found
To leave a comment about one of the resource links below, or to leave a comment about this page, please use the commenting form found at the bottom of the page. All comments are only visible to members of our staff and do not appear publicly. You can also upvote a link by clicking on the thumbs-up icon next to it.
Proning ARDS Patient – TOP (3)
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Prone Positioning for Acute Respiratory Distress Syndrome ...https://www.youtube.com › watch
(Health System Demonstration) Some COVID-19 patients are experiencing acute respiratory distress syndrome (ARDS) and require ...
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Prone Positioning Protocol for Intubated Patients
(Health System Guidelines) Apr 8, 2020 - Prone Positioning Guideline. Designated ... Minimal of 5 staff members to safely position the patient ... prone position (five-step method). 1.
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Prone Positioning for the COVID-19 Patient - YouTubehttps://www.youtube.com › watch
(Health System Summary/Demonstration) - Prone Positioning for the COVID-19 Patient. Category. Education. Song. Eye of the Tiger. Artist. Survivor ...
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OTHER RESOURCES
To leave a comment about one of the resource links below, or to leave a comment about this page, please use the commenting form found at the bottom of the page. All comments are only visible to members of our staff and do not appear publicly. You can also upvote a link by clicking on the thumbs-up icon next to it.
Proning ARDS Patient – OTHER (12)
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A Guide to Prone Positioning for COVID-19 Patients - YouTubehttps://www.youtube.com › watch
A Guide to Prone Positioning for COVID-19 Patients ... Prone Positioning for Acute Respiratory Distress ...
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The Pragmatics of Prone Positioning | American Journal of Respiratory and Critical Care Medicine
Jul 3, 2001 - Patients with acute respiratory distress syndrome (ARDS) or acute lung injury (ALI) are frequently kept in the supine position for days to weeks, ...
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NIH | Prone ventilation reduces mortality in patients with acute hypoxaemic...
Dec 10, 2011 - Authors' conclusions. Prone ventilation reduced mortality in patients with severe acute hypoxaemic respiratory failure, but not in patients with less severe hypoxaemia. Prone ventilation improved oxygenation, but increased the risk of adverse events.
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SCCM | SSC COVID-19 Guidelines - Society of Critical Care ...www.sccm.org › SurvivingSepsisCampaign › COVID-19
Mar 20, 2020 - The Surviving Sepsis Campaign (SSC) has released Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 ...
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Prone Positioning in Severe Acute Respiratory Distress ...
Prone Positioning in Severe Acute Respiratory Distress Syndrome. 878K views. 1.7K. 188. Share. Save ...
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Respiratory Support in Novel Coronavirus Disease (COVID-19) Patients, with a Focus on Resource-Limited Settings
Apr 21, 2020 - oa Respiratory Support in Novel Coronavirus Disease (COVID-19) Patients, with a Focus on Resource-Limited Settings. Arjen M. Dondorp ...
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Prone Position in Management of COVID-19 Patients; a Commentary
Apr 11, 2020 - Prone Position in Management of COVID-19 Patients; a Commentary. Parisa Ghelichkhani and Maryam Esmaeili. Additional article information ...
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Clinical management of severe acute respiratory infection ...www.who.int › docs › default-source › coronaviruse
Mar 13, 2020 - respiratory infection (SARI) when infection with the COVID-19 virus is ... This document is organized into the following sections: ... Give suspect patient a medical mask and direct patient to separate area; ... There is little evidence on prone positioning in pregnant women. ... World Health Organization 2020.
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Prone ventilation reduces mortality in patients with acute ...www.ncbi.nlm.nih.gov › books › NBK79103
Dec 10, 2011 - Authors' conclusions. Prone ventilation reduced mortality in patients with severe acute hypoxaemic respiratory failure, but not in patients with less severe hypoxaemia. Prone ventilation improved oxygenation, but increased the risk of adverse events.
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Prone ventilation for adult patients with acute respiratory ...www.uptodate.com › contents › prone-ventilation-for-a...
Prone ventilation is ventilation that is delivered with the patient lying in the prone position. Prone ventilation may be used for the treatment of acute respiratory distress syndrome (ARDS) mostly as a strategy to improve oxygenation when more traditional modes of ventilation fail (eg, lung protective ventilation).
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Coronavirus disease 2019 (COVID-19): Critical care issues ...www.uptodate.com › contents › coronavirus-disease-20...
Apr 24, 2020 - RESPIRATORY CARE OF THE NONINTUBATED PATIENT ... features, and management of patients who become critically ill due to COVID-19. ... (See "Coronavirus disease 2019 (COVID-19): Issues related to kidney disease ... Potential risks and challenges with COVID-19 patients include aerosolization ...
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Efficacy and safety of early prone positioning combined with ...ccforum.biomedcentral.com › articles
Jan 30, 2020 - Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study.
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Sources Searched: World Health Organization research database, Google, PubMed, references from within relevant sources
Search Terms: prone OR proning, ventilation, COVID
Research on coronavirus and COVID-19 is rapidly evolving. This page reflects evidence collected up to May 29, 2020.
