Pronation strategies in patients with acute respiratory syndromes in intensive care units

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32164

Keywords:

Severe Acute Respiratory Syndrome; Pneumonia, viral; COVID-19; SARS-CoV-2; Pronation.

Abstract

Objective: This is a systematic review of articles that study pronation strategies in the last 5 years in intensive care units. Methods: Few articles dealing with this topic were observed, totaling 4 studies out of a total of 143 extracted from the PUBMED databases; SCOPUS; WEB OF SCIENCE; BASE Results: The studies demonstrate similar strategies used in the planning of the technique by professionals who perform pronation, it is also possible to perceive the agreement that pronation in patients with respiratory syndromes hospitalized in intensive care units can be a procedure that acts to reduce the time hospitalization and/or mortality rates, in addition to being able to avoid serious complications. Conclusion: Therefore, it is necessary to emphasize the importance of studies on the subject.

References

Anderson, C., Bekele, Z., Qiu, Y., Tschannen, D., Dinov, I.D. (2021). Modeling and prediction of pressure injury in hospitalized patients using artificial intelligence. BMC Med Inform Decis Mak. Aug 30;21(1):253. 10.1186/s12911-021-01608-5.

Bezerra, T.C. et al. (2020). Os efeitos da posição prona na mecânica respiratória dos pacientes com síndrome do desconforto respiratório do adulto. Brazilian Journal of Health Review, v. 3, n. 5, p. 15467-15479. doi.org/10.34119/bjhrv3n5-336.

Ceruti, S., Glotta, A., Biggiogero, M., Bona, G., Saporito, A., Faldarini, N. et al. (2021). Multidisciplinary team approach in critically ill COVID-19 patients reduced pronation-related complications rate: A retrospective cohort study. Ann Med Surg (Lond). Oct;70:102836. doi.org/10.1016/j.amsu.2021.102836.

Coppo, A., Bellani, G., Winterton, D., Di Pierro, M., Soria, A., Faverio, P. et al. (2020). Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med. Aug; 8(8):765-774. 10.1016/S2213-2600(20)30268-X.

Cornejo, R.A., Díaz, J.C., Tobar, E.A., Bruhn, A.R., Ramos, C.A., González, R.A. et al. (2013). Effects of prone positioning on lung protection in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. Aug 15;188(4):440-8. 10.1164/rccm.201207-1279OC.

Costanzo, R., Brianti, A., Covesnon, M.G., Fascie C., Ferrantino, M.G., Ferrera, L., et al. (2021). Prone position in non-intubated patients with covid-19 related acute respiratory failure,"La pronazione nei pazienti non intubati con insufficienza respiratoria acuta da covid-19" "Rassegna di Patologia dell'Apparato Respiratorio. 36 (90-95). dói: 10.36166/2531-4920-511.

Dalmedico, M. M., Salas, D., Oliveira, A. M., Baran, F. D. P., Meardi, J. T., Santos, M. C. (2017). Efficacy of prone position in acute respiratory distress syndrome: overview of systematic reviews. Rev. esc. enferm. USP. 51: e03251. doi.org/10.1590/S1980-220X2016048803251.

Ding, L., Wang, L., MA, W., HE, H. (2020). Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care. 24(1):28. 10.1186/s13054-020-2738-5.

Ferrando, C., Suarez-sipmann, F., Mellado-artigas, R., Hernández, M., Gea, A., Arruti, E. et al. (2020). COVID-19 Spanish ICU Network. Clinical features, ventilatory management, and outcome of ARDS caused by COVID-19 are similar to other causes of ARDS. Intensive Care Med. Dec;46(12):2200-2211. 10.1007/s00134-020-06192-2.

Gattinoni, L., Busana, M., Giosa, L., Macrì, M.M., Quintel, M. (2019). Prone Positioning in Acute Respiratory Distress Syndrome. Semin Respir Crit Care Med. Feb;40(1):94-100. dói: 10.1055/s-0039-1685180.

Glotta, A. et al. (2021). Role of physiotherapy team in critically ill COVID-19 patients pronation: can a multidisciplinary management reduce the complications rate? Annals of medicine and Surgery. Jun. 10.1016/j.amsu.2021.102836.

Higgins, J. P. T., Thomas, J., Chandler, J. et al. Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). Cochrane, 2021. Disponível em: http://www.training.cochrane.org/handbook.

Ibarra, G., Rivera A., Fernandez-Ibarburu, B., Lorca-García, C., Garcia-Ruano, A. (2021) "Prone position pressure sores in the COVID-19 pandemic: The Madrid experience". "Journal of Plastic, Reconstructive and Aesthetic Surgery","74","9",,"2141","2148". 10.1016/j.bjps.2020.12.057.

JÁ, N.g., LA Miccile, C., Iracheta, C., Berndt, M., Detwiller, C., Yuse, J. (2020). Tolland Prone positioning of patients with acute respiratory distress syndrome related to COVID-19: a rehabilitation-based prone team. Phys. Ther., 100, pp. 1737 – 1745. 10.1093/ptj/pzaa124.

Jahani, S., Hajivand Soleymani, Z., Asadizaker, M., Soltani, F., Cheraghian, B. (2018). Determination of the effects of prone position on oxygenation in patients with acute respiratory failure under mechanical ventilation in ICU. J. Med. Life. 11:274–280. 10.25122/jml-2018-0028.

Lazzeri, M., Lanza, A., Bellini, R., Bellofiore, A., Cecchetto, S., Colombo, A. et al. (2020). "Respiratory physiotherapy in patients with COVID-19 infection in acute setting: A Position Paper of the Italian Association of Respiratory Physiotherapists (ARIR)"."Monaldi Archives for Chest Disease","90","1","1285","163","168",,"dói:10.4081/monaldi.2020.1285".

Li, R., Rivers, C., Tan, Q., Murray, M.B., Toner, E., Lipsitch, M. (2020). Estimated demand for US hospital inpatient and intensive care unit beds for patients with COVID-19 based on comparisons with Wuhan and Guangzhou, China. JAMA Netw Open. 3(5):e208297. 10.1001/jamannetworkopen.2020.8297.

Matthay, M.A., Zemans, R.L., Zimmerman, G.A. (2019). Acute respiratory distress syndrome. Nat Rev Dis Primers. 5:18. 10.1038/s41572-019-0069-0.

Meyer, N.J., Gattinoni, L., Calfee, C.S. (2021). Acute respiratory distress syndrome. Lancet. 2021 Aug 14;398(10300):622-637. 10.1016/S0140-6736(21)00439-6. Epub 2021 Jul 1.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G. (2009) The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med, v. 6, n. 7, p. e1000097. doi.org/10.1371/journal.pmed.1000097.

Mumba, M.N., Jaiswal, J., Langner-Smith, N., Mugoya, G.T., Brown, W., Davis, L.L. (2021). Creating a pronation therapy team: One hospital's journey. Nursing. Jul 1;51(7):44-47. 10.1097/01.NURSE.0000753988.30717.7e.

O'donoghue, S.C., Church, M., Russell, K., Gamboa, K.A., Hardman, J., Sarge, J. et al. (2021). Development, Implementation, and Impact of a Proning Team During the COVID-19 Intensive Care Unit Surge. Dimens Crit Care Nurs. Nov-Dec 01;40(6):321-327. 10.1097/DCC.0000000000000498.

Olkowski, B.F., Shah, S.O. (2017). Early Mobilization in the Neuro-ICU: How Far Can We Go? Neurocrit Care. Aug;27(1):141-150. 10.1007/s12028-016-0338-7.

Parola, V., Neves, H., Duque, F.M., Bernardes, R.A., Cardoso, R., Mendes, C.A. et al. (2021). Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review Protocol. Int J Environ Res Public Health. Nov 16;18(22):12033. 10.3390/ijerph182212033.

Paternoster, G., Sartini, C., Pennacchio, E., Lisanti, F., Landoni, G., Cabrini, L. (2020). Awake pronation with helmet continuous positive airway pressure for COVID-19 acute respiratory distress syndrome patients outside the ICU: A case series. Med Intensiva (Engl Ed). Set 6:S0210-5691(20)30273-4. 10.1016/j.medin.2020.08.008.

Pelosi, P., Brazzi L, Gattinoni, L. (2002). Prone position in acute respiratory distress syndrome. Eur Respir J. Oct;20(4):1017-28. 10.1183/09031936.02.00401702.

Salciute-simene, E. (2022). Manual proning of a morbidly obese COVID-19 patient: A case report. Aust Crit Care. Jan;35(1):102-104..Epub 2021 Oct 22. dói:10.1016/j.aucc.2021.10.002

Sartori, M., Favaretto, E., Cosmi, B. (2021). Relevance of immobility as a risk factor for symptomatic proximal and isolated distal deep vein thrombosis in acutely ill medical inpatients. Vasc Med. Oct;26(5):542-548. 10.1177/1358863X21996825.

Scaramuzzo, G., Gamberini, L., Tonetti, T. et al. (2021). Sustained oxygenation improvement after first prone positioning is associated with liberation from mechanical ventilation and mortality in critically ill COVID-19 patients: a cohort study. Ann. Intensive Care 11, 63. 10.1186/s13613-021-00853-1.

Setten, M., Plotnikow, G.A., Accoce, M. (2016). Prone position in patients with acute respiratory distress syndrome. Rev Bras Ter Intensiva. Oct-Dec;28(4):452-462. 10.5935/0103-507X.20160066.

Short, B., Parekh, M., Ryan, P., Chiu, M., Fine, C., Scala. P., Moses, S., Jackson, E., Brodie, D., Yip, N.H. (2020). Rapid implementation of a mobile prone team during the COVID-19 pandemic. J. Crit. Care. 60:230–234. 10.1016/j.jcrc.2020.08.020.

Wiggermann, N., Zhou, J., McGann, N. (2021). Effect of Repositioning Aids and Patient Weight on Biomechanical Stresses When Repositioning Patients in Bed. Hum Factors. Jun;63(4):565-577. 10.1177/0018720819895850.

Zang, X., Wang, Q., Zhou, H., Liu, S., Xue, X. (2020). Efficacy of early prone position for COVID-19 patients with severe hypoxia: a single-center prospective cohort study. Intensive Care Med. outubro. 46 (10): 1927-1929. 10.1007/s00134-020-06182-4.

Published

18/07/2022

How to Cite

SANTOS, A. P. dos .; SOUZA, A. C. de F. .; SANTOS , J. E. C. .; OLIVEIRA , R. C. .; FERREIRA, M. E. R. .; SILVA, J. P. R. .; SILVA JÚNIOR, W. M. da .; MACIEL, L. Y. dos S. .; FARIAS NETO, J. P. de . Pronation strategies in patients with acute respiratory syndromes in intensive care units. Research, Society and Development, [S. l.], v. 11, n. 9, p. e54711932164, 2022. DOI: 10.33448/rsd-v11i9.32164. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32164. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences