Proning during covid-19: Challenges and solutions

Despite proven benefits to prone positioning in ARDS, a disconnect exists regarding the impressions of its utility among members of the healthcare team. While the majority of physicians view prone positioning as beneficial in ARDS, recent data suggest that the minority of ICU nurses have the same im...

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Detalles Bibliográficos
Autores principales: Cotton, Shannon, Zawaydeh, Qais, LeBlanc, Shannon, Husain, Abdurrahman, Malhotra, Atul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2020
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7437505/
https://www.ncbi.nlm.nih.gov/pubmed/32861885
http://dx.doi.org/10.1016/j.hrtlng.2020.08.006
Descripción
Sumario:Despite proven benefits to prone positioning in ARDS, a disconnect exists regarding the impressions of its utility among members of the healthcare team. While the majority of physicians view prone positioning as beneficial in ARDS, recent data suggest that the minority of ICU nurses have the same impression. The COVID pandemic has raised particularly challenges in terms of availability of personnel and supplies at least in some institutions. We discuss various barriers to implementation of prone positioning and suggest a number of strategies to optimize patient care. We use a multidisciplinary team approach to execute prone positioning in COVID ARDS.

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