{"id":17372,"date":"2021-10-20T14:25:51","date_gmt":"2021-10-20T19:25:51","guid":{"rendered":"https:\/\/turnmedical.com\/?p=17372"},"modified":"2021-10-20T14:46:30","modified_gmt":"2021-10-20T19:46:30","slug":"why-prone-positioning","status":"publish","type":"post","link":"https:\/\/turnmedical.com\/why-prone-positioning\/","title":{"rendered":"Why Prone Positioning?"},"content":{"rendered":"

\"lungs<\/p>\n

The prone position is a well-established intervention that improves oxygenation and decreases mortality for patients with respiratory failure and hypoxemia<\/b>. Prone positioning has increased in use over recent years due to the vast amount of evidence and international recommendations for this intervention, most recently with COVID-19.1<\/sup> There are several reasons why the prone position contributes to increases in oxygenation.<\/p>\n

 <\/p>\n

First, prone positioning creates a more homogenous distribution of ventilator pressures,<\/b> reducing\u00a0 <\/span>the risk for alveolar overdistension.2<\/sup> This in turn reduces ventilator-induced lung injury.<\/p>\n

 <\/p>\n

Second, alveoli that were previously dependent, fluid-filled due to gravity, and\/or collapsed are recruited and become able to exchange oxygen in the prone position. This often leads to an improvement in oxygenation and ultimately to a reduction in FiO<\/b>2<\/sub><\/b> requirements<\/b>.2<\/sup><\/p>\n

 <\/p>\n

The overall effect of prone positioning on oxygenation and ventilator requirements leads to a reduction in mortality. This has been consistently demonstrated through multiple studies, such as the PROSEVA trial, and presented in several subsequent meta-analyses.2,3,4,5<\/sup><\/p>\n

 <\/p>\n

\"Pronova\"<\/p>\n

The Pronova-O2<\/sub> Automated Prone Therapy System provides a safe and efficient method for positioning critically ill patients. For additional information on Pronova-O<\/b>2<\/sub><\/b>, or to preorder, please visit <\/b>turnmedical.com<\/b><\/a> or call 1-855-275-8876.<\/b><\/p>\n

 <\/p>\n

Refer to Pronova-O<\/b>2<\/sub><\/b> Instructions for Use<\/b><\/a> for full prescribing information including risks.\u00a0<\/span><\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

References<\/p>\n

    \n
  1. \n
      \n
    1. Alhazzani, W., M\u00f8ller, M.H., Arabi, Y.M. et al.<\/i> Surviving Sepsis Campaign: Guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med<\/i> (2020). https:\/\/doi.org\/10.1007\/s00134-020-06022-5<\/a><\/li>\n
    2. Malhotra, Atul. (Sept 2021). Prone ventilation for adults with acute respiratory distress syndrome. Up to Date.<\/i> Retrieved October 5, 2021, https:\/\/www.uptodate.com\/contents\/prone-ventilation-for-adult-patients-with-acute-respiratory-distress-syndrome#H5<\/a><\/li>\n
    3. Beitler JR, Shaefi S, Montesi SB, et al. Prone positioning reduces mortality from acute respiratory distress syndrome in the low tidal volume era: A meta-analysis. Intensive Care Med<\/i>. 2014;40(3):332-41, doi: 10.1007\/s00134-013-3194-3.<\/a><\/li>\n
    4. Henderson, W.R., Griesdale, D.E., Dominelli, Pl, & Ronco, J.J. (2014).\u00a0 <\/span>Does prone positioning improve oxygenation and reduce mortality in patients with acute respiratory distress syndrome?\u00a0 <\/span>Canadian Respiratory Journal, <\/i>21(4). 213-215, https:\/\/doi.org\/10.155\/2014\/472136<\/a>.<\/li>\n
    5. Park SY, Kim HJ, Yoo KH, Park YB, Kim SW, Lee SJ, et al. The efficacy and safety of prone positioning in adult patients with acute respiratory distress syndrome: a meta\u2010analysis of randomized controlled trials. Journal of Thoracic Diseases <\/i>2015;7(3):356\u201067. doi: 10.3978\/j.issn.2072-1439.2014.12.49.<\/a><\/li>\n<\/ol>\n<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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