Prone to Resisting Change
By Allison Varnum
Prone positioning has been cited as beneficial in improving oxygenation as early as the 1970s. However, this modality was considered a salvage therapy until the PROSEVA study was published in 2013. This study demonstrated prolonged prone positioning for ventilated acute respiratory distress syndrome (ARDS) patients significantly improved patient mortality1. Following the PROSEVA study, prone therapy has been incorporated into the American Thoracic Society (ATS) and the European Society of Intensive Care Medicine (EISCM) guidelines and is now considered the standard of care for patients with ARDS2. Prone therapy saw a significant increase in utilization during the COVID-19 pandemic, but those numbers have since declined due to manual prone positioning barriers such as difficulty performing the maneuver, risk of injury to caregivers along with the number of caregivers required, pressure injuries, and loss of lines and tubes.
The Pronova-O2 Automated Prone Therapy System effectively addresses barriers to manual prone positioning in a fiscally responsible manner3. For additional information on automated prone positioning, please visit turnmedical.com or call 1-855-275-8876. Refer to Pronova-O2 Instructions for Use for full prescribing information including risks.
- Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, Mercier E, Badet M, Mercat A, Baudin O, Clavel M, Chatellier D, Jaber S, Rosselli S, Mancebo J, Sirodot M, Hilbert G, Bengler C, Richecoeur J, Gainnier M, Bayle F, Bourdin G, Leray V, Girard R, Baboi L, Ayzac L; PROSEVA Study Group. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013 Jun 6;368(23):2159-68. doi: 10.1056/NEJMoa1214103. Epub 2013 May 20. PMID: 23688302.
- Grasselli G, Calfee CS, Camporota L, Poole D, Amato MBP, Antonelli M, Arabi YM, Baroncelli F, Beitler JR, Bellani G, Bellingan G, Blackwood B, Bos LDJ, Brochard L, Brodie D, Burns KEA, Combes A, D’Arrigo S, De Backer D, Demoule A, Einav S, Fan E, Ferguson ND, Frat JP, Gattinoni L, Guérin C, Herridge MS, Hodgson C, Hough CL, Jaber S, Juffermans NP, Karagiannidis C, Kesecioglu J, Kwizera A, Laffey JG, Mancebo J, Matthay MA, McAuley DF, Mercat A, Meyer NJ, Moss M, Munshi L, Myatra SN, Ng Gong M, Papazian L, Patel BK, Pellegrini M, Perner A, Pesenti A, Piquilloud L, Qiu H, Ranieri MV, Riviello E, Slutsky AS, Stapleton RD, Summers C, Thompson TB, Valente Barbas CS, Villar J, Ware LB, Weiss B, Zampieri FG, Azoulay E, Cecconi M; European Society of Intensive Care Medicine Taskforce on ARDS. ESICM guidelines on acute respiratory distress syndrome: definition, phenotyping and respiratory support strategies. Intensive Care Med. 2023 Jul;49(7):727-759. doi: 10.1007/s00134-023-07050-7. Epub 2023 Jun 16. PMID: 37326646; PMCID: PMC10354163.
- Product review. Data on file accessed 2024 April 23.
