Prone positioning: Is it safe and effective?

Critical Care Nursing Quarterly

Volumn 35, Issue 1, 2012, Pages 64-75

  Dirkes, Susan ^a   Dickinson, Sharon ^b,c   Havey, Renee ^c   O'Brien, Denise ^b,c  

^a Surgical Intensive Care and Progressive Care   (United States)

^b UNIVERSITY OF MICHIGAN HOSPITALS   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

Author keywords

acute lung injury; acute respiratory distress syndrome; ARDS; extended prone position ventilation; prone positioning

Indexed keywords

ABDOMINAL SURGERY; ADULT RESPIRATORY DISTRESS SYNDROME; AORTA BALLOON; ARTICLE; ASTHMA; BLEEDING; BODY POSTURE; CARDIOPULMONARY ARREST; CLINICAL EFFECTIVENESS; DECUBITUS; DEVICE REMOVAL; EXTUBATION; FACE EDEMA; FRACTURE FIXATION; HEAD INJURY; HEART ARRHYTHMIA; HUMAN; HYPOTENSION; INTENSIVE CARE; INTRACRANIAL PRESSURE; INTRAOCULAR PRESSURE; KYPHOSCOLIOSIS; LUNG HEMODYNAMICS; MEAN ARTERIAL PRESSURE; MULTIPLE TRAUMA; OSTEOARTHRITIS; OXYGENATION; PELVIS FRACTURE; PREGNANCY; RHEUMATOID ARTHRITIS; RIB FRACTURE; SAFETY; SEIZURE; SPINAL CORD INJURY; SYSTOLIC BLOOD PRESSURE; THORAX SURGERY; TRACHEA OBSTRUCTION; TRACHEOSTOMY; TRACTION THERAPY; TREATMENT CONTRAINDICATION; VOMITING;

HUMANS; MEDICAL ILLUSTRATION; PATIENT POSITIONING; PRONE POSITION; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; TREATMENT OUTCOME;

EID: 83655183102     PISSN: 08879303     EISSN: 15505111     Source Type: Journal    
DOI: 10.1097/CNQ.0b013e31823b20c6     Document Type: Article

References (53)

1. Pelosi P, Brazzi L, Gattinoni L. Prone position in acute respiratory distress syndrome. Eur Respir J. 2002;20:1017-1028. (Pubitemid 35175144)
2. Alsaghir AH, Martin CM. Effect of prone positioning in patients with acute respiratory distress syndrome: a meta-analysis. Crit Care Med. 2008;36(2):603-609. (Pubitemid 351158639)
3. Powers J. The five P's spell positive outcomes for ARDS patients. Am Nurse Today. 2007;2(3):34-38.
4. Powers J. Use of prone positioning with ARDS. Crit Connect. 2011;10(2):8-9.
5. Phua J, Badia JR, Adhikari NKJ, et al. Has mortality from acute respiratory distress syndrome decreased over time? Am J Respir Crit Care Med. 2009;179:220-227.
6. Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med. 2000;342:1334-1349. (Pubitemid 30408719)
7. Ashbaugh DG, Bigelow DB, Petty TL, Levine BE TL. Acute respiratory distress in adults. Lancet. 1967;2:319-323.
8. Dernaika TA, Keddissi JI, Kinasewitz GT. Update on ARDS: beyond the low tidal volume. Am J Med Sci. 2009;337(5):360-367.
9. Moffett DF,Moffett SB, Schauf C. Human Physiology: Foundations and Frontiers, 2nd ed. St Louis, MO: Mosby Inc; 1993:454.
10. Gattinoni L, Pesenti A, Bombino M, et al. Relationships between lung computed tomographic density, gas exchange and PEEP in acute respiratory failure. Anesthesiology. 1988;69:824-832. (Pubitemid 19021626)
11. Hyatt RE, Bar-Yisay E, Abel MD. Influence of the heart on the vertical gradient of transpulmonary pressure in dogs. J Appl Physiol. 1985;58:52-57. (Pubitemid 15054377)
12. Malbouisson LM, Busch CJ, Puybasset L, et al. Role of the heart in the loss of aeration characterizing lower lobes in acute respiratory distress syndrome. Am J Respir Crit Care Med. 2000;161:2005-2012. (Pubitemid 30418144)
13. Otis AB, McKerrow CB, Bartlett RA, et al. Mechanical factors in distribution of pulmonary ventilation. J Appl Physiol. 1956;8(4):427-443.
14. Froese AB, Bryan AC. Effects of anaesthesia and paralysis on diaphragmatic mechanics in man. Anesthesiology. 1974;41:242-255.
15. Gattinoni L, Pelosi P, Croitti S, Valenza F. Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome. Am J Respir Crit Care Med. 1995;151:1807-1814.
16. Albert RK, Hubmayr RD. The prone position eliminates compression of the lungs by the heart. Am J Respir Crit Care Med. 2000;161:1660-1665. (Pubitemid 30329045)
17. Lamm WJE, Graham MM, Albert RK. Mechanism by which prone positioning improves oxygenation in acute lung injury. Am J Respir Crit Care Med. 1994;150:184-193. (Pubitemid 24209957)
18. Bryan AC. Comment of a devil's advocate. Am Rev Respir Dis. 1974;110:143-144.
19. Pheil MA, Brown RS. Use of extreme position changes in acute respiratory failure. Crit Care Med. 1976;4: 13-14.
20. Gattinoni L, Tognomi G, Pesenti A, et al. Effect of prone positioning on the survival of patients with acute respiratory failure.NEngl J Med. 2001;345:568-573. (Pubitemid 32772098)
21. Rowe C. Development of clinical guidelines for prone positioning of adult patients. Nurs Crit Care. 2004;9(2):50-57.
22. Klein Y, Blackbourne L, Barquist E. Non-ventilatorybased strategies in the management of acute respiratory distress syndrome. J Trauma Inj Infect Crit Care. 2004;57(4):915-924. (Pubitemid 39431224)
23. Brieburg AN, Aitken L, Reaby L, Clancy RL, Pierce JD. Efficacy and safety of prone positioning for patients with acute respiratory distress syndrome. J AdvNurs. 2000;32(4):922-929
24. Protti A, Chiumello D, Cressoni M, et al. Relationship between gas exchange response to prone position and lung recruitability during acute respiratory failure. Intensive Care Med. 2009;35(6):1011-1017.
25. Gattinoni L, Vagginelli F, Carlesso E, et al. Decrease in PaCO2 with prone position is predictive of improved outcome in acute respiratory distress syndrome. Crit Care Med. 2003;294(2):229-237.
26. Alsaghir AH, Martin CM. Effect of prone positioning in patients with acute respiratory distress syndrome: a meta-analysis. Crit Care Med. 2008;36(2):603-609. (Pubitemid 351158639)
27. Dernaika TA, Keddissi JI, Kinasewitz GT. Update on ARDS: beyond the low tidal volume. Am J Med Sci. 2009;337(5):360-367.
28. Fan E, Mehta S. High-frequency oscillatory ventilation and adjunctive therapies: inhaled nitric oxide andprone positioning. Crit Care Med. 2005;33(3):S182-S187. (Pubitemid 40365607)
29. Mutoh T, Guest RJ, LammWJE, Albert RK. Prone position alters the effect of volume overload on regional pleural pressures and improves hypoxemia in pigs in vivo. Am Rev Respir Dis. 1992;146:300-306.
30. Curley MA, Hibbard PL, Fineman LD, et al. Effect of prone positioning on clinical outcomes in children with acute lung injury. A randomized controlled trial. JAMA. 2005;294:229-237. (Pubitemid 41043793)
31. Taccone P, Pesenti A, Latini R, et al. Prone positioning in patients with moderate and severe acute respiratory distress syndrome: a randomized controlled trial. JAMA 2009;302:1977-1984.
32. Albert RK, Leasa D, Sanderson M, Robertson HT, Hlastala MP. The prone position improves arterial oxygenation and reduces shunt in oleic-acidinduced acute lung injury. Am Rev Respir Dis. 1987;135(3):628-633 (Pubitemid 17041596)
33. Gattinoni L, Pesenti A, Avalli L, Rossi F, Bombino M. Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study. Am Rev Respir Dis. 1987;136(3):730-736 (Pubitemid 18007383)
34. Pelosi P, Croci M, Ravagnan I, et al. The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg. 1998;87(3):654-660. (Pubitemid 28397493)
35. Chatte G, Sab J, Dubois J, et al. Prone position in mechanically ventilated patients with severe acute respiratory failure. Am J Respir Crit Care Med. 1997;155:473-478. (Pubitemid 27085788)
36. Pappert D, Rossaint R, Slama K, et al. Influence of positioning on ventilation-perfusion relationships in severe adult respiratory distress syndrome. Chest. 1994;106:1511-1516. (Pubitemid 24346120)
37. Brazzi L, Ravagnan I, Pelosi P, et al. Prone position in anesthesia and critical care. Care Crit Ill. 1999;15: 5-9.
38. Guerin C, Galliard S, Lemasson S, et al. Effects of systematic prone positioning in hypoxemic respiratoryfailure: a randomized controlled trial. JAMA. 2004;292:2379-2387. (Pubitemid 39491923)
39. Mancebo J, Fernandez R, Blanch L, et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med. 2006;173(11):1233-1239. (Pubitemid 43848394)
40. Taccone P, Pesenti A, Latini R, et al. Prone positioning in patients with moderate and severe acute respiratory distress syndrome: a randomized controlled trial. JAMA. 2009;302:1977-1984.
41. Abroug F, Ouanes-Besbes L, Elatrous S, Brochard L. The effect of prone positioning in acute respiratory distress syndrome or acute lung injury: a metaanalysis. Areas of uncertainty and recommendations for research. Intensive Care Med. 2008;34(6):1002-1011. (Pubitemid 351903798)
42. Tiruvoipati R, Bangash M, Manktelow B, Peek GJ. Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis. J Crit Care. 2008;23(1):101-110. (Pubitemid 351400348)
43. Kopterides P, Siempos II, Armaganidis A. Prone positioning in hypoxemic respiratory failure: metaanalysis of randomized controlled trials. J Crit Care. 2009;24(1):89-100.
44. Sud S, Sud M, Friedrich JO, Adhikari NKJ. Effect of mechanical ventilation in the prone position on clinical outcomes in patients with acute hypoxemic respiratory failure: a systematic review and meta-analysis. CMAJ. 2008;178(8):1153-1161 (Pubitemid 351580074)
45. Douglas WW, Rehder K, Beynen FM, et al. Improved oxygenation in patients with acute respiratory failure: The prone position. Am Rev Respir Dis. 1977;115:559-566. (Pubitemid 8074567)
46. Johnson K, Meyenburg T. Physiological rationale and current evidence for therapeutic positioning of critically ill patients. AACN Adv Crit Care. 2009;20(3):228-240.
47. Romero CM, Cornejo RA, Galvez LR, et al. Extended prone position ventilation in severe acute respiratory distress syndrome: a pilot feasibility study. J Crit Care. 2009; 24(1):81-88.
48. Le Gall JR, Lemeshow S, Saulnier F. A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270:2957-2963. (Pubitemid 24000804)
49. Vollman K. Prone positioning for the ARDS patient. Dimens Crit Care Nurs. 1997;16:184-193
50. Sud S, Freidrich JO, Taccone P, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: a systematic review and meta-analysis. Intensive Care Med. 2010;36:585-589
51. Voggenreiter G, Aufmkolk M, Stilette R, et al. Prone positioning improves oxygenation in posttraumatic lung injury-a prospective randomized trial. J Trauma. 2004;59(2):333-343.
52. Mc Clave SA, Martindale RG, Vanek VW, et al. Guidelines for provision and assessment of nutritional support therapy in the adult critically ill patient: Society of Critical care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (ASPEN). JPEN J Parenter Enteral Nutr. 2009;33;277.
53. Gattinoni L, Tognoni G,, Brazzi G, et al. Ventilation in the prone position. Lancet 1997;350:815.