Good practices for prone positioning at the bedside: Construction of a care protocol.
Last year, interest in prone positioning to treat acute respiratory distress syndrome (ARDS) resurfaced with the demonstration of a reduction in mortality by a large randomized clinical trial. Reports in the literature suggest that the incidence of adverse events is significantly reduced with a team trained and experienced in the process. The objective of this review is to revisit the current evidence in the literature, discuss and propose the construction of a protocol of care for these patients. A search was performed on the main electronic databases: Medline, Lilacs and Cochrane Library. Prone positioning is increasingly used in daily practice, with properly trained staff and a well established care protocol are essencial.
Hospital de Clínicas de Porto Alegre, Multidisciplinary Group of Teaching and Research, Porto Alegre RS , Brazil, MD - Intensive Care Unit, Coordinator of the Multidisciplinary Group of Teaching and Research in PRONE of the Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Vanessa Martins de
VM
Oliveira
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Michele Elisa
ME
Weschenfelder
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, MSc Physiotherapist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Gracieli
G
Deponti
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, MSc Physiotherapist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Robledo
R
Condessa
Hospital de Clínicas de Porto Alegre, Porto Alegre RS , Brazil, PhD Intensive Care Physician and Nutrologist, HCPA, Porto Alegre, RS, Brazil.
Sergio Henrique
SH
Loss
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Patrícia Maurello
PM
Bairros
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Thais
T
Hochegger
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Rogério
R
Daroncho
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nutritionist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Bibiana
B
Rubin
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Marcele
M
Chisté
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Danusa Cassiana Rigo
DC
Batista
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nurse at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Deise Maria
DM
Bassegio
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, MSc Physiotherapist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Wagner da Silva
Wda S
Nauer
Hospital de Clínicas de Porto Alegre, Porto Alegre RS , Brazil, PhD Intensive Care Physician and Nutrologist, HCPA, Porto Alegre, RS, Brazil.
Daniele Martins
DM
Piekala
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Nutritionist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Silvia Daniela
SD
Minossi
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, Undergraduate Diploma Physiotherapist at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Vanessa Fumaco da Rosa Dos
VF
Santos
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, PhD Physician at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Josue
J
Victorino
Hospital de Clínicas de Porto Alegre, Intensive Care Unit, Porto Alegre RS , Brazil, PhD Supervising Physician at the Intensive Care Unit, HCPA, Porto Alegre, RS, Brazil.
Silvia Regina Rios
SR
Vieira
D000328:Adult; D002985:Clinical Protocols / Q000592:standards; D003422:Critical Care / Q000379:methods; D006801:Humans; D010348:Patient Care Team; D056888:Patient Positioning / Q000009:adverse effects / Q000379:methods*; D016684:Prone Position; D015203:Reproducibility of Results; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome