Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation

The prone position is a non-invasive technique resulting from the mobilization of the patient, where the person is lying horizontally face down. This technique has been used since the 1970s, but it has gained great relevance in the last year owing to the COVID-19 pandemic with the use of invasive me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Álvaro Astasio-Picado, María del Rocío Sánchez-Sánchez
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	acute respiratory distress syndrome prone position mechanic ventilation intensive care unit pressure ulcers Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/1a997f4d71f643ed90e0033764d10b30
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1a997f4d71f643ed90e0033764d10b30
record_format	dspace
spelling	oai:doaj.org-article:1a997f4d71f643ed90e0033764d10b302021-11-11T15:17:55ZEffectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation10.3390/app1121102632076-3417https://doaj.org/article/1a997f4d71f643ed90e0033764d10b302021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/10263https://doaj.org/toc/2076-3417The prone position is a non-invasive technique resulting from the mobilization of the patient, where the person is lying horizontally face down. This technique has been used since the 1970s, but it has gained great relevance in the last year owing to the COVID-19 pandemic with the use of invasive mechanical ventilation. Objectives: To evaluate the effectiveness of the prone position in patients with acute respiratory distress syndrome as a consequence of the COVID-19 disease who are mechanically ventilated and admitted to the intensive care unit. To demonstrate the nursing care carried out and to identify the respiratory benefits of the prone position in this type of patient. Data sources, study eligibility criteria: The search for articles was carried out from January 2018 to June 2021, in five databases (Pubmed, Google Scholar, Scielo, Dialnet, and WOS), based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators “AND”, “NOT”, and “OR”. The search was limited to publications from the last 6 years, in English. Results: After applying the selection criteria and evaluating the quality of the methodology, 12.14% (<i>n</i> = 21) of the 173 results were included with filters: 3 bibliographic reviews, 1 narrative review, 2 systematic review, 7 descriptive (4 series of cases and 3 of cross section), and 8 analytical (6 of cohorts and 2 of cases and controls). Conclusions and implications of key findings: The prone position in adults with acute respiratory distress syndrome improves oxygenation, in conjunction with invasive mechanical ventilation, from the second cycle and in prolonged pronation episodes. This technique improves oxygenation by increasing alveolar recruitment and inspiratory capacity in the dorsal pulmonary areas.Álvaro Astasio-PicadoMaría del Rocío Sánchez-SánchezMDPI AGarticleacute respiratory distress syndromeprone positionmechanic ventilationintensive care unitpressure ulcersTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10263, p 10263 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute respiratory distress syndrome prone position mechanic ventilation intensive care unit pressure ulcers Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	acute respiratory distress syndrome prone position mechanic ventilation intensive care unit pressure ulcers Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Álvaro Astasio-Picado María del Rocío Sánchez-Sánchez Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
description	The prone position is a non-invasive technique resulting from the mobilization of the patient, where the person is lying horizontally face down. This technique has been used since the 1970s, but it has gained great relevance in the last year owing to the COVID-19 pandemic with the use of invasive mechanical ventilation. Objectives: To evaluate the effectiveness of the prone position in patients with acute respiratory distress syndrome as a consequence of the COVID-19 disease who are mechanically ventilated and admitted to the intensive care unit. To demonstrate the nursing care carried out and to identify the respiratory benefits of the prone position in this type of patient. Data sources, study eligibility criteria: The search for articles was carried out from January 2018 to June 2021, in five databases (Pubmed, Google Scholar, Scielo, Dialnet, and WOS), based on the clinical question, using the keywords derived from the DeCS and MeSH thesauri, combined with the Boolean operators “AND”, “NOT”, and “OR”. The search was limited to publications from the last 6 years, in English. Results: After applying the selection criteria and evaluating the quality of the methodology, 12.14% (<i>n</i> = 21) of the 173 results were included with filters: 3 bibliographic reviews, 1 narrative review, 2 systematic review, 7 descriptive (4 series of cases and 3 of cross section), and 8 analytical (6 of cohorts and 2 of cases and controls). Conclusions and implications of key findings: The prone position in adults with acute respiratory distress syndrome improves oxygenation, in conjunction with invasive mechanical ventilation, from the second cycle and in prolonged pronation episodes. This technique improves oxygenation by increasing alveolar recruitment and inspiratory capacity in the dorsal pulmonary areas.
format	article
author	Álvaro Astasio-Picado María del Rocío Sánchez-Sánchez
author_facet	Álvaro Astasio-Picado María del Rocío Sánchez-Sánchez
author_sort	Álvaro Astasio-Picado
title	Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
title_short	Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
title_full	Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
title_fullStr	Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
title_full_unstemmed	Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation
title_sort	effectiveness of prone positioning in patients with covid-19-related acute respiratory distress syndrome undergoing invasive mechanical ventilation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1a997f4d71f643ed90e0033764d10b30
work_keys_str_mv	AT alvaroastasiopicado effectivenessofpronepositioninginpatientswithcovid19relatedacuterespiratorydistresssyndromeundergoinginvasivemechanicalventilation AT mariadelrociosanchezsanchez effectivenessofpronepositioninginpatientswithcovid19relatedacuterespiratorydistresssyndromeundergoinginvasivemechanicalventilation
_version_	1718435543625236480

Effectiveness of Prone Positioning in Patients with COVID-19-Related Acute Respiratory Distress Syndrome Undergoing Invasive Mechanical Ventilation

Ejemplares similares