Nursing the Patients with Acute Respiratory Distress Syndrome in the Prone Position

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Wanna Supawachirakul
Surat Thongyoo


               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 treatment on the ARDS patients, and holistic nursing guideline for the ARDS patients, and patients’ family. Prone position is a non-invasive treatment which can improve oxygenation due to increased blood flow 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 death rate in ARDS patients.



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Supawachirakul W, Thongyoo S. Nursing the Patients with Acute Respiratory Distress Syndrome in the Prone Position. Siriraj Med Bull [Internet]. 2021 Mar. 22 [cited 2023 Dec. 8];14(2):81-9. Available from:
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