Pulmonary, Evidence-Based Practice
Kathleen M Vollman, MSN, RN, CCNS, FCCM, FCNS, FAAN; Sharon P Dickinson, RN, MSN, CCRN
Prone positioning has been used in patients with ARDS to recruit alveoli to improve oxygenation and prevent complications of ventilator-induced lung injury for the past 30 years. However, the use of prone positioning is now considered frontline therapy. This session discusses the physiological mechanisms of the prone position for reducing lung trauma and improving oxygenation. Evidence will be provided to define the patient likely to respond to prone positioning, and identify the time frame in which to initiate therapy and the appropriate time spent in the prone position. Evidence-based strategies for turning and sustaining the patient in a prone position are outlined to ensure safety for the patient and healthcare personnel.