Awake Prone Positioning in Nonintubated Patients With Acute Hypoxemic Respiratory Failure

医学 俯卧位 不利影响 奇纳 镇静 梅德林 重症监护医学 患者安全 物理疗法 医疗保健 麻醉 心理干预 内科学 经济 法学 精神科 经济增长 政治学
作者
Cristian Fusi,Enrico Bulleri,Michele Villa,Luigi Pisani,Khadija El Aoufy,Alberto Lucchini,Stefano Bambi
出处
期刊:Critical Care Nurse [AACN Publishing]
卷期号:43 (1): 31-41 被引量:2
标识
DOI:10.4037/ccn2023209
摘要

Background Awake prone positioning research focuses primarily on improving oxygenation and reducing intubation and mortality rates. Secondary outcomes concerning patient safety have been poorly addressed. Objective To summarize current evidence on the frequency of adverse events during awake prone positioning and the effects on patients’ safety, comfort, and tolerance. Methods This scoping review used the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews. MEDLINE/PubMed and CINAHL databases were the primary sources for the systematic search. Results The review included 19 original studies involving 949 patients who underwent awake prone positioning. No major complications such as death, severe respiratory compromise, or hemodynamic disease were reported. Ten studies reported the following secondary adverse events related to awake prone positioning: skin breakdown (1%-6% of patients), pain (12%-42%), discomfort (35%-43%), vomiting (2%-7%), intolerance (3%-47%), and vascular catheter dislodgment (5%). The duration of awake prone positioning sessions varied widely (0.3-19 hours). Seven studies reported that nurses helped patients during prone positioning maneuvers, including monitoring and surveillance, and 3 studies reported patients placing themselves in the prone position. In 6 studies light or moderate sedation was employed in the procedures. Conclusions Awake prone positioning was not related to cardiorespiratory consequences but was associated with pain, intolerance, discomfort, and patients’ refusal. Patients should receive education regarding awake prone positioning to improve their acceptance. Health care professionals should optimize pain control, communication, patient comfort, patient adherence, and correct positioning.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
2秒前
3秒前
wangrch6完成签到,获得积分10
5秒前
假装超人会飞完成签到,获得积分10
6秒前
Long发布了新的文献求助10
6秒前
7秒前
怂mi发布了新的文献求助10
7秒前
CharlotteBlue应助科研通管家采纳,获得20
8秒前
不安青牛应助科研通管家采纳,获得10
8秒前
小马甲应助科研通管家采纳,获得10
8秒前
不安青牛应助科研通管家采纳,获得10
8秒前
情怀应助科研通管家采纳,获得30
8秒前
不安青牛应助科研通管家采纳,获得10
8秒前
不安青牛应助科研通管家采纳,获得10
8秒前
烟花应助科研通管家采纳,获得10
8秒前
隐形曼青应助科研通管家采纳,获得10
8秒前
打工肥仔应助科研通管家采纳,获得10
8秒前
8秒前
zzz4743应助科研通管家采纳,获得30
8秒前
8秒前
8秒前
8秒前
白柏发布了新的文献求助30
10秒前
三一口发布了新的文献求助50
15秒前
怂mi完成签到,获得积分10
16秒前
鹿茸完成签到,获得积分10
18秒前
Lshyong完成签到 ,获得积分10
18秒前
实验菜菜君完成签到 ,获得积分10
18秒前
NexusExplorer应助马思语采纳,获得10
19秒前
20秒前
深情安青应助机灵怀蝶采纳,获得10
20秒前
Xie完成签到 ,获得积分10
22秒前
木偶人完成签到,获得积分10
23秒前
阴险的麻花完成签到 ,获得积分10
24秒前
wzppp发布了新的文献求助10
25秒前
三一口完成签到,获得积分10
25秒前
kathy完成签到,获得积分10
26秒前
MYBLUE发布了新的文献求助10
26秒前
lew14应助呆萌的亦丝采纳,获得30
27秒前
高分求助中
The Illustrated History of Gymnastics 800
The Bourse of Babylon : market quotations in the astronomical diaries of Babylonia 680
Herman Melville: A Biography (Volume 1, 1819-1851) 600
Division and square root. Digit-recurrence algorithms and implementations 500
機能營養學前瞻(3 Ed.) 300
Improving the ductility and toughness of Fe-Cr-B cast irons 300
Problems of transcultural communication 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2507603
求助须知:如何正确求助?哪些是违规求助? 2158918
关于积分的说明 5526400
捐赠科研通 1879266
什么是DOI,文献DOI怎么找? 934830
版权声明 564046
科研通“疑难数据库(出版商)”最低求助积分说明 499258