Critical Care Nursing to Reduce Complications from Prone Position in ARDS Patients
Keywords:
critical care nurses, prone position, caring of prone position, ARDSAbstract
Acute respiratory distress syndrome (ARDS) is a syndrome that causes injury to the lungs, resulting in severe hypoxemia and a life threatening crisis in the respiratory system. Prone positioning is a supportive treatment that benefits to the patient by improving positive outcomes such as improved oxygenation and reduced mortality rates of patients with ARDS. Although the prone position has benefits, high risk complications such as airways-related complications, pressure ulcers, facial and ocular edema, dislodgement of catheters, hemodynamic instability, bone fractures and nerve injury often arise with the prone position . The article discusses methods that critical care nurses can utilize for reducing risk of prone position in ARDS patients. Caring for an ARDS patient with prone position composes three phases 1) pre-prone positioning 2) prone positioning and 3) post-prone positioning. Critical care nurses must be trained to care appropriately for prone patients through proper nursing care practice.
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