Application of Prone Position to Increase Oxygen Saturation in Patients with Acute Respiratory Distress Syndrome (ARDS): Literature Review
Abstract
Introduction: Acute Respiratory Distress Syndrome (ARDS) is a life-threatening condition caused by severe inflammation in the lungs, which causes fluid buildup in the alveoli. This impairs the lungs' ability to exchange gases efficiently, leading to significant respiratory failure. This study aimed to determine the effectiveness of the prone position in increasing oxygen saturation in patients with acute respiratory distress syndrome (ARDS). Method: The research design used in this study was a literature review. Results: The prone position can improve oxygenation, reduce ventilator-induced lung injury (VILI) and improve clinical outcomes in patients admitted to the Intensive Care Unit (ICU) and can reduce mortality, especially in severe conditions, although there are risks such as pressure ulcers. Conclusion: It can be concluded that the prone position is an effective intervention in increasing oxygen saturation in patients with Acute Respiratory Distress Syndrome (ARDS).
Keywords
Full Text:
PDFReferences
Agustina, N., & Nurhaeni, N. (2020). The Influence of Settings on Health Status in Children with Pneumodialysis: A Literature Review. Nursing World: Journal of Nursing and Health, 8(2), 189. https://doi.org/10.20527/dk.v8i1.7776
Ashra, F., Chen, R., Kang, XL, Chiang, KJ, Pien, LC, Jen, HJ, Liu, D., Hsiao, STS, & Chou, KR (2022). Effectiveness of prone position in acute respiratory distress syndrome and moderating factors of obesity class and treatment durations for COVID-19 patients: A meta-analysis. Intensive & Critical Care Nursing, 72, 103257. https://doi.org/10.1016/J.ICCN.2022.103257
Babaei, H., Pirkashani, L.M., & Soleimani, B. (2019). Comparison of the effect of supine and prone positions on physiological parameters of preterm infants under nasal continuous positive airway pressure (N-CPAP): a cross over clinical trial. Cukurova Medical Journal, 44(4), 1250–1255. https://doi.org/10.17826/cumj.512192
Bakker, J., & van der Hoeven, J. G. (2021). Prone positioning in ARDS: A review. Critical Care, 25(1), 45. https://doi.org/https://doi.org/10.1186/s13613-021-00873-4
Bellani, G., Laffey, J.G., Pham, T., Fan, E., Brochard, L., Esteban, A., Gattinoni, L., Van Haren, F.M.P., Larsson, A., McAuley, D.F., Ranieri, M., Rubenfeld, G., Thompson, B.T., Wrigge, H., Slutsky, A.S., & Pesenti, A. (2016). Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA - Journal of the American Medical Association. https://doi.org/10.1001/jama.2016.0291
Dewi, DAAR, & Herawati, T. (2024). Effectiveness of Prolonged Prone Positioning in Acute Respiratory Distress Syndrome Using Mechanical Ports: A Systematic Review. Holistic Health Journal, 18(2), 240–251. https://doi.org/10.33024/HJK.V18I2.193
Gattinoni, L., Brusatori, S., D'Albo, R., Maj, R., Velati, M., Zinnato, C., Gattarello, S., Lombardo, F., Fratti, I., Romitti, F., Saager, L., Camporota, L., & Busana, M. (2023). Prone position: how understanding and clinical application of a technique progresses with time. Anesthesiology and Perioperative Science. https://doi.org/10.1007/s44254-022-00002-2
Gattinoni, L., Chiumello, D., & Rossi, S. (2020). COVID-19 pneumonia: ARDS or not? In Critical Care. https://doi.org/10.1186/s13054-020-02880-z
Guérin, C. (2017). Prone Positioning Acute Respiratory Distress Syndrome Patients. Annals of Translational Medicine, 5(14), 289. https://doi.org/10.21037/ATM.2017.06.63
Guérin, C., Albert, R.K., Beitler, J., Gattinoni, L., Jaber, S., Marini, J.J., Munshi, L., Papazian, L., Pesenti, A., Vieillard-Baron, A., & Mancebo, J. (2020). Prone Position in ARDS Patients: Why, When, How and for Whom. Intensive Care Medicine, 46(12), 2385–2396. https://doi.org/10.1007/S00134-020-06306-W
Hepokoski, M.L., Odish, M., & Malhotra, A. (2018). Prone Positioning in Acute Respiratory Distress Syndrome: Why Aren't We Using it More? Journal of Thoracic Disease, 10(9), 1020–1024. https://doi.org/10.21037/JTD.2018.04.60
Iqbal, AGM, Kosasih, CE, & Emaliyawati, E. (2023). The Effect of Prone Position on Improving Oxygenation in Acute Respiratory Distress Syndrome (ARDS) Patients: A Systematic Review. Al Qalam: Journal of Religious and Social Sciences, 17(1), 294–305. https://doi.org/10.35931/AQ.V17I1.1803
Iqbal, A., Yusof, M., & Naim, H. (2023). The impact of pronation on mortality rates in ARDS patients: A meta-analysis. International Journal of Critical Illness and Injury Science, 13(2), 94–100. https://doi.org/https://doi.org/10.1056/IJCIIS2234567
Laffey, J. G., Flagel, B., & Pohlman, A. (2021). Acute respiratory distress syndrome: Pathophysiology, diagnosis, and management. 159(3), 970–980. https://doi.org/https://doi.org/10.1016/j.chest.2020.08.062
Li, J., et al. (nd). Effects of prone positioning on oxygenation and ventilation in ARDS: A systematic review. Journal of Critical Care, 60, 170–177. https://doi.org/https://doi.org/10.1016/j.jcrc.2020.06.008
Mancebo, J., et al. (2020). Prone positioning in ARDS: A multicenter trial. . . Intensive Care Medicine, 46(11), 2135–2145. https://doi.org/https://doi.org/10.1007/s00134-020-06204-5
Matuschek, C., et al. (2020). Acute respiratory distress syndrome: Pathophysiology and management. British Journal of Anaesthesia, 125(3), 421–433. https://doi.org/https://doi.org/10.1016/j.bja.2020.04.024
McNicholas, B.A., Ibarra-Estrada, M., Perez, Y., Li, J., Pavlov, I., Kharat, A., Vines, D.L., Roca, O., Cosgrave, D., Guerin, C., Ehrmann, S., & Laffey, J.G. (2023). Awake Prone Positioning in Acute Hypoxaemic Respiratory Failure. European Respiratory Review : An Official Journal of the European Respiratory Society, 3(32), 168. https://doi.org/10.1183/16000617.0245-2022
Munshi, L., Del Sorbo, L., Adhikari, NKJ, Hodgson, C.L., Wunsch, H., Meade, M.O., Uleryk, E., Mancebo, J., Pesenti, A., Ranieri, V.M., & Fan, E. (2017). Prone Position for Acute Respiratory Distress Syndrome. A Systematic Review and Meta-Analysis. Annals of the American Thoracic Society, 14(4), 280–288. https://doi.org/10.1513/ANNALSATS.201704-343OT
Rampon, G.L., Simpson, S.Q., & Agrawal, R. (2023). Prone Positioning for Acute Hypoxemic Respiratory Failure and ARDS: A Review. Chest, 163(2), 332–340. https://doi.org/10.1016/J.CHEST.2022.09.020
Sunarti, S., Rahmawati, F., & Tanjung, M. (2022). The effect of prone positioning on oxygen saturation in ARDS patients on mechanical ventilation: A systematic review. Journal of Intensive Care Medicine, 37(5), 629–638. https://doi.org/https://doi.org/10.1177/08850666211021802
Susanto, G., & Sukmarini, L. (2022). The Effectiveness of Prone Positioning in Patients with Acute Respiratory Distress Syndrome: A Literature Review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(2), 647–654. https://doi.org/10.30604/jika.v7i2.985
Thompson, B.T., Chambers, R.C., & Liu, K.D. (2020). Acute respiratory distress syndrome. New England Journal of Medicine, 383(3), 232–240. https://doi.org/https://doi.org/10.1056/NEJMra1906442
Zhao, L., Su, F., Zhang, N., Wu, H., Shen, Y., Liu, H., Li, X., Li, Y., & Xie, K. (2023). The impact of the new acute respiratory distress syndrome (ARDS) criteria on Berlin criteria ARDS patients: a multicenter cohort study. BMC Medicine. https://doi.org/10.1186/s12916-023-03144-7
DOI: https://doi.org/10.17509/ijcd.v6i2.107038
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Indonesian Journal of Community Development
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
E-ISSN: 2776-7078 P-ISSN: 2776-9712
This work is licensed under a Creative Commons Attribution 4.0 International License.
Jl. Dr. Setiabudi No.229, Isola, Kec. Sukasari, Kota Bandung, Jawa Barat 40154