Proning Patients With COVID-19: A Review of Equipment and Methods.
Hum Factors
; 62(7): 1069-1076, 2020 11.
Article
in English
| MEDLINE | ID: covidwho-714445
ABSTRACT
OBJECTIVE:
To identify and critically evaluate methods for proning patients with COVID-19 in the intensive care unit (ICU).BACKGROUND:
Acute respiratory distress syndrome (ARDS) is common in hospitalized patients with COVID-19. Proning improves blood oxygenation and survival rates in these patients but is not commonly performed due to the difficulty of the procedure.METHODS:
An academic literature review, internet video search, and consultation with five subject-matter experts was performed to identify known methods for proning. Evaluation of each method considered the number of healthcare workers required, physical stresses on staff, risk of adverse events to patients, and equipment cost and availability.RESULTS:
Several variations of manual techniques and-lift assisted techniques were identified in addition to a specialized proning bed. Manual methods require more healthcare workers, higher physical stresses, and greater risk of adverse events than lift-assisted methods or the proning bed.CONCLUSION:
Both the specialized proning bed and a lift-assisted method using straps largely eliminated manual forces required for proning while allowing for a controlled lowering and positioning of the patient. APPLICATION This review will guide practitioners to the most suitable methods for proning patients in the ICU.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Respiratory Distress Syndrome
/
Coronavirus Infections
/
Patient Positioning
/
Intensive Care Units
Type of study:
Experimental Studies
/
Prognostic study
/
Reviews
Limits:
Humans
Language:
English
Journal:
Hum Factors
Year:
2020
Document Type:
Article
Affiliation country:
0018720820950532
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