Good practices for prone positioning at the bedside: Construction of a care protocol

• Main Author: Oliveira,Vanessa Martins de
• Publication Date: 2016
• Other Authors: Weschenfelder,Michele Elisa, Deponti,Gracieli, Condessa,Robledo, Loss,Sergio Henrique, Bairros,Patrícia Maurello, Hochegger,Thais, Daroncho,Rogério, Rubin,Bibiana, Chisté,Marcele, Batista,Danusa Cassiana Rigo, Bassegio,Deise Maria, Nauer,Wagner da Silva, Piekala,Daniele Martins, Minossi,Silvia Daniela, Santos,Vanessa Fumaco da Rosa dos, Victorino,Josue, Vieira,Silvia Regina Rios
• Format: Article
• Language: eng
• Source: Revista da Associação Médica Brasileira (Online)
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000300287
• topic: adult respiratory distress syndrome; acute respiratory distress syndrome; ventral decubitus; respiratory failure; intensive therapy

SUMMARY 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.