Author(s)

Liping Bai, Mingrong Gao, Yajun Xu

The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Background: Prone positioning is nowadays considered as one of the most effective strategies for patients with severe acute respiratory distress syndrome (ARDS). Prone position ventilation can lead to some severe complications. Effectively implement prone ventilation and reduce the incidence of complications become an important problem for clinical medical staff. Aims: To investigate whether the Sandwich rolling over method was convenient for clinical implementation and can reduce complications. Design: This is a single-center, retrospective, observational study. Results: The mean pronation cycles per patient were 6.11 ± 4.40. The mean time spent in prone position for each cycle was 10.05 ± 4.42 hours. Two patients developed a pressure sore and the positions were cheek, auricle and chest. The mean time it took from preparation to cover the patient with the quilt was 10.56 ± 4.35 minutes. Conclusions: This retrospective study has shown that under the close cooperation and supervision of the team, the implementation efficiency of prone position ventilation can be improved and the occurrence of complications can be reduced.

Prone Position Ventilation, Respiratory Distress Syndrome, Pressure Sores

Bai, L. , Gao, M. and Xu, Y. (2020) Sandwich Rolling over Method in Patients with Prone Position Ventilation. International Journal of Clinical Medicine, 11, 431-437. doi: 10.4236/ijcm.2020.116036.