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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 ฉั่� 2 เม.ย - มิ.ย 2564
วา ุภวชิกุล* สุัน์ องอยู่**
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Siriraj Medical Bulletin
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Siriraj Medical Bulletin
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