Effectiveness of prolonged prone positioning in acute respiratory distress syndrome using mechanical ports: A systematic review

Abstract

Abstract Background: Acute respiratory distress syndrome (ARDS) is a pulmonary condition that triggers a systemic inflammatory response with different etiologies that has distinctive pathological clinical characteristics. This study discusses the provision of prolonged prone position as supportive therapy to improve oxygenation status in ARDS patients as well as the complications that may arise from prolonged prone position. Purpose: To compile and collect the latest evidence on prolonged prone positioning therapy in ARDS patients. Method: Design a systematic review with PRISMA guidelines using databases from ScienceDirect, Proquest, PubMed, and Scopus. Search for articles with the keywords “prolonged prone position” AND “ARDS” AND “benefits” AND “complications”. Results: All nine articles recognized the positive influence of prolonged prone position on oxygenation status in ARDS patients, but had no effect on patient mortality rates. However, prolonged prone positioning has several complications related to nerve disorders in parts of the body that are under pressure for a long time, prolonged use of sedation medication which affects the prolonged use of mechanical ventilation, long ICU stay, and other complications. In terms of efficiency, prolonged prone positioning provides convenience for health workers because it does not require more time and energy in changing the patient's position repeatedly. Conclusion: Prolonged prone positioning has been proven to be effective and safe for patients. This position can be used and reduces the workload of health care workers, but complications related to this position require good monitoring regarding clinical and neurological parameters. Suggestion: Further research needs to be done regarding the appropriate duration of proneness so that it can provide an optimal positive impact and possibly minimize the risk of complications. Further research involving patient groups may provide a deeper understanding of the benefits and risks of prolonged prone positioning interventions. Keywords:Acute Respiratory Distress Syndrome (ARDS); Benefit; Complication; Prolonged Prone Position.