The Prone Position and its benefits in the treatment of Acute Respiratory Distress Syndrome: an integrative review
Prone position and its benefits in the treatment of acute Respiratory Distress Syndrome: an integrative review
DOI:
10.52832/jesh.v2i2.104Keywords:
Adult respiratory distress syndrome, Prone position, PhysiotherapyAbstract
Due to the high mortality, alternative therapeutic strategies have been adopted in clinical practice for acute respiratory distress syndrome (ARDS), such as the prone position, which, with the patient in the prone position, relieves atelectasis and improves oxygenation and perfusion. Objective: To verify, in the literature, evidence that proves the benefits of using the prone position in patients with acute respiratory distress syndrome (ARDS). Method. Integrative literature review. Search in databases: BVS, SciELO, Lilacs, PubMed and Academic Google, using the Descriptors in Health Sciences (DeCS): Adult Respiratory Distress Syndrome; prone position; Mechanical ventilation; Non-invasive ventilation; Physiotherapy, crossed by the Boolean operator AND. After applying the eligibility criteria and evaluation by titles, abstracts and full reading, 13 studies were selected for the preparation of this review. Results and discussion. The prone position (PP) is essential to reduce the extent and mortality of ARDS. In addition to preventing orotracheal intubation, PP promotes an improvement in the PaO2/FiO2 ratio, an increase in O2 saturation, an improvement in lung compliance, a reduction in ICU bed occupancy and time to hospital discharge. PP is a highly efficient, low-cost technique with several benefits to the respiratory mechanics of patients.
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