Adults with severe acute respiratory distress syndrome who underwent venovenous extracorporeal membrane oxygenation had similar times to weaning with prone and supine positions.
The American Association of Critical-Care Nurses released standardized guidelines to help nurses care for patients undergoing prone positioning therapy.
Awake prone positioning is a well-established non-pharmacological intervention to improve lung oxygenation. This process has received much attention for improving clinical outcomes in non-intubated COVID-19 patients with hypoxemic respiratory failure.
Background: Prone positioning has been widely used to improve oxygenation and reduce ventilator-induced lung injury in patients with severe COVID-19 acute respiratory distress syndrome (ARDS). One major complication associated with prone positioning is the development of pressure ulcers (PUs). Aim: This study aimed to determine the impact of a prevention care bundle on the incidence of PUs in patients with COVID-19 ARDS undergoing prone positioning in the intensive care unit. Study Design: This was a single-centre pre and post-test intervention study which adheres to the Standards for Reporting Implementation Studies (StaRI) guidelines. The intervention included a care bundle addressing the following: increasing frequency of head turns, use of an open gel head ring, application of prophylactic dressings to bony prominences, use of a pressure redistribution air mattress, education of staff in the early identification of evolving PUs through regular and rigorous skin inspection and engag