ARDS + prone position

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Hi everyone,

I searched the forum, and haven't seen any postings on this since 2002, so I'm bringing this up again: :)

1. Do you typically prone ARDS patients on your unit?

2. If so, do you prone early or late?

3. Did you see changes in oxygenation?

4. Did the patient survive?

5. Did you have complications from the proning?

I'm really curious about ARDS in general, and haven't seen much research that supports proning, but have heard nurses swear by it.

Thanks in advance for any replies! :redpinkhe

Hi this is brandy west i had double pnemiounia with ards i was put into a coma for 3 months because of my o2 was so low i woke up but had 2 chest tubes trac i was on life support its been 7 years recovery very slow my streghth is very low i think i have post tramatic stree disorder from being so sick i have neroupathy in lefy foot know being in the bed for so long i woke up alone in a bed that was very scary the blood gas test where the worst alot of memorey lost touble breathing doing normal thingshave had 3 blood clots in lungs in 1 year they dont know why get sick in my lungs realy easily know thanks brandy

Specializes in ICU.

It's been a few years, but yes when I worked shock-trauma, we use to prone people as a last ditch effort to try and oxygenate them. There are always risk when proning a patient, risk of dislodging tubes of any variety including the ETT. I found it did work on increasing O2 levels but can't really say it did much for the big picture. As mentioned, it was always a last ditch effort when all else failed. Having said that, it only takes one patient saved to make it worthwhile.

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