Lippincott Nursing Pocket Card - September 2022
Based on the progress made in mechanically ventilated patients, many hospitals are encouraging intermittent prone positioning for conscious, non-intubated patients with COVID-19 acute respiratory distress syndrome (ARDS). A meta-analysis of studies of proning in non-intubated COVID-19 patients found an association between prone positioning and improvement in oxygenation, without serious adverse events (Ponnapa et al, 2022). Proning is a safe, inexpensive nursing-driven intervention. The potential physiologic benefits include:
For the conscious patient who is not receiving mechanical ventilation, consider these criteria for prone positioning:
If oxygen saturations deteriorate, take the following steps:
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