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Discussion

ARDS + prone position

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

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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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