Abstract
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% (n = 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.
Highlights
The current outbreak of pneumonia caused by a new coronavirus, so-called SARS-CoV-2, is the subject of numerous investigations owing to its great impact on global public health, as well as its economic and social repercussions
The treatment of Acute respiratory distress syndrome (ARDS) is aimed at early recognition and correction of the etiological cause, through interdisciplinary therapeutic strategies taught by the staff of the intensive care unit (ICU) [5]
The use of non-invasive mechanical ventilation (NIMV) has been suggested as part of the initial treatment of ARDS, despite the fact that most of these patients will end up requiring invasive mechanical ventilation (IMV)
Summary
The current outbreak of pneumonia caused by a new coronavirus, so-called SARS-CoV-2, is the subject of numerous investigations owing to its great impact on global public health, as well as its economic and social repercussions. Acute Respiratory Distress Syndrome Acute respiratory distress syndrome (ARDS) is a clinical picture characterized by inflammation and increased permeability in the alveolocapillary membrane that causes, as a consequence, an acute and severe injury, of both the lung structure and function. It leads to the appearance of pulmonary edema of non-cardiogenic origin, as a result of increased alveolar vascular permeability, causing acute respiratory failure [2,3]. There is insufficient evidence for its recommendation and its application may worsen the patient’s prognosis owing to delayed endotracheal intubation [3]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
