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Prone positioning in the patient who has acute respiratory distress syndrome: the art and science.
Crit Care Nurs Clin North Am. 2004 Sep; 16(3):319-36, viii.CC

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.

Authors+Show Affiliations

Advancing Nursing, 23613 Edward, Dearborn, MI 48128, USA. kvollman@comcast.net

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15358381

Citation

Vollman, Kathleen M.. "Prone Positioning in the Patient Who Has Acute Respiratory Distress Syndrome: the Art and Science." Critical Care Nursing Clinics of North America, vol. 16, no. 3, 2004, pp. 319-36, viii.
Vollman KM. Prone positioning in the patient who has acute respiratory distress syndrome: the art and science. Crit Care Nurs Clin North Am. 2004;16(3):319-36, viii.
Vollman, K. M. (2004). Prone positioning in the patient who has acute respiratory distress syndrome: the art and science. Critical Care Nursing Clinics of North America, 16(3), 319-36, viii.
Vollman KM. Prone Positioning in the Patient Who Has Acute Respiratory Distress Syndrome: the Art and Science. Crit Care Nurs Clin North Am. 2004;16(3):319-36, viii. PubMed PMID: 15358381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prone positioning in the patient who has acute respiratory distress syndrome: the art and science. A1 - Vollman,Kathleen M, PY - 2004/9/11/pubmed PY - 2004/11/17/medline PY - 2004/9/11/entrez SP - 319-36, viii JF - Critical care nursing clinics of North America JO - Crit Care Nurs Clin North Am VL - 16 IS - 3 N2 - 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. SN - 0899-5885 UR - https://www.unboundmedicine.com/medline/citation/15358381/Prone_positioning_in_the_patient_who_has_acute_respiratory_distress_syndrome:_the_art_and_science_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0899588504000425 DB - PRIME DP - Unbound Medicine ER -