The use of the pronation technique in mechanical ventilation

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26040

Keywords:

Patients; Prone position; Respiration artificial.

Abstract

The use of prone mechanical ventilation has recently been incorporated into clinical practice, after studies have shown that the loss of lung volume in supine patients with acute respiratory distress syndrome is directly related to severity. This study aimed to analyze the use of the pronation technique in patients undergoing mechanical ventilation. The study is a bibliographic research of the integrative literature review type. The search for studies was performed using the PICO strategy, which represents an acronym for Patients (P), Intervention (I), Comparison (C) and Outcomes (O-outcomes). Data collection took place in August 2021 in the databases of the National Library of Medicine and the Virtual Health Library (VHL). 14 articles were included in this review. As for the results, it was shown that the main benefits of pronation are: improving oxygenation and minimizing harmful ventilation; avoid the use and complications of neuromuscular blockade; improve arterial blood oxygen pressure and saturation level in patients, among others. Despite the presence of complications, such as pressure injuries, which were relatively common, pronation is associated with a reduction in mortality and its use is highly recommended, since complications are relatively minor compared to the benefits of this practice. However, in the protocol of this technique it is recommended that protection measures be adhered to. Therefore, it is up to the team to assess the best approach to treat and monitor clients who are using mechanical ventilation.

References

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Published

18/02/2022

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SOUZA FILHO, C. A. P. .; OLIVEIRA , F. B. M. .; SILVA, W. C. da .; SOARES , B. S. .; SIQUEIRA, H. D. S. .; SIQUEIRA , F. F. F. S. .; SILVA , M. L. da .; CUNHA, H. G. S. S. .; SANTOS, R. R. L. dos; VITORIO, M. A. S. .; DUARTE, A. P. C. .; MIRANDA, L. S. C. .; MORAES , K. R. P. .; FERREIRA, E. H. B. .; GUIMARÃES , L. S. .; LIMA, J. H. A. de .; SILVA, R. A. da .; NEVES, S. R. das . The use of the pronation technique in mechanical ventilation. Research, Society and Development, [S. l.], v. 11, n. 3, p. e19711326040, 2022. DOI: 10.33448/rsd-v11i3.26040. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26040. Acesso em: 22 nov. 2024.

Issue

Vol. 11 No. 3

Section

Review Article

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Copyright (c) 2022 Cesar Augusto Pereira Souza Filho; Francisco Braz Milanez Oliveira ; Wenderson Costa da Silva; Bianca Santos Soares ; Hálmisson D’Árley Santos Siqueira; Francisléia Falcão França Santos Siqueira ; Marconny Lira da Silva ; Hádila Giovanna Santos Siqueira Cunha; Rodolfo Ritchelle Lima dos Santos; Maria Alice Souza Vitorio; Ana Paula Cunha Duarte; Layse Siqueira Costa Miranda; Kelly Rose Pinho Moraes ; Eduardo Henrique Barros Ferreira; Lucas Sousa Guimarães ; Juliana Helen Almeida de Lima; Rafael Andrade da Silva; Samanta Rodrigues das Neves

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