Development of clinical guidelines for prone positioning in critically ill adults.
Literature reveals evidence that prone positioning can improve the oxygenation of critically ill patients suffering from acute lung injury or acute respiratory distress syndrome. Multicentre evidence, however, does not support the claim that it improves patients' outcome. The implementation of multiprofessional guidelines by which to direct the manoeuvre will facilitate the safe and effective management of patients in the prone position. They will thus heighten multiprofessional awareness of the technique and promote its proactive use at such time so as to achieve maximum clinical benefit.
Rowe
Catherine
C
ICU Derbyshire Royal Infirmary/ITU Derby City General Hospital, Southern Derbyshire Acute Hospitals NHS Trust, Derbyshire Royal Infirmary, Derby. Catherine.Rowe@sdah.tr.trent.nhs.uk
D000328:Adult; D000465:Algorithms; D015400:Clinical Nursing Research; D003422:Critical Care / Q000379:methods / Q000592:standards*; D016638:Critical Illness / Q000451:nursing; D003663:Decision Trees; D019317:Evidence-Based Medicine; D006801:Humans; D017770:Lifting; D009730:Nursing Assessment; D010101:Oxygen Consumption; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D016684:Prone Position / Q000502:physiology; D011659:Pulmonary Gas Exchange; D012123:Pulmonary Ventilation; D012128:Respiratory Distress Syndrome / Q000378:metabolism / Q000451:nursing* / Q000503:physiopathology; D012449:Safety; D012720:Severity of Illness Index