81
Siriraj Medical Bulletin
Nursing the Patients with
Acute Respiratory Distress
Syndrome in the Prone
Position
Wanna Supawachiraku*, Surat Thongyoo**
*Siriraj hospital, Faculty of Medicine Siriraj Hospital, Mahidol University , **Siriraj hospital, Faculty of Medicine
Siriraj Hospital, Mahidol University.
Siriraj Medical Bulletin 2021;14(2): 81-89
Abstract
Acute respiratory distress syndrome (ARDS) is a critical and serious condition
in respiratory system. ARDS causes lung injury which leads to hypoxia and high risk of
death, especially if it is lack of appropriate treatment and immediate responses. This article
aims to present prone position holistic nursing guideline for the ARDS patients, and patients’
family, and patients’ family. Prone position is a non-invasive treatment which can improve
oxygenation due to increased blood ow in effective area of lungs. It can reduce the amount
of atelectasis regions in lungs, and increase lung expansion. The guideline consists of 3
periods of nursing in the prone position; 1) pre-prone position period 2) during prone position
period and 3) post- prone position turning period. Nurses are important as team members
who provide the appropriate care for the patients. Nurses can improve safety and prevent
complications of prone position treatment, and decrease the mortality rate in ARDS patients.
Keywords: acute respiratory distress syndrome (ARDS); prone position; COVID-19
Correspondence to: Wanna Supawachiraku
E-mail address: wanna.sup@mahidol.ac.th
Received: 29 January 2021
Revised: 2 February 2021
Accepted: 11 March 2021
http://dx.doi.org/10.33192/Simedbull.2021.19
Review Article
82 ่� 14 ฉ่� 2 เม.ย - ม.ย 2564











 


วา ภวชกล* สน องอยู่**
*   
, **  
 .











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Siriraj Medical Bulletin



3

















6






















7



































Review Article
84 ่� 14 ฉ่� 2 เม.ย - ม.ย 2564
































































85
Siriraj Medical Bulletin




























 











































Review Article
86 ่� 14 ฉ่� 2 เม.ย - ม.ย 2564





























































87
Siriraj Medical Bulletin


































































Review Article
88 ่� 14 ฉ่� 2 เม.ย - ม.ย 2564
















































































89
Siriraj Medical Bulletin













































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