Studies have shown that placing patients in the prone position helps:
- Improve oxygenation quickly within the first hour of pronation for over 70% of patients
- Sustain an improvement in oxygenation
- Provide lung-protective ventilation by decreasing inflammation, injury, barotrauma, and ventilator-associated lung injury
- Reduce ventilation time
- Reduce ICU length of stay
- Facilitate drainage of pulmonary secretions4
- Eliminate compression of the lungs by the heart
Simplified Proning The RotoProne® Therapy System automates the proning process:
- Automated proning may help address caregiver risk management concerns
- Minimal staff is required to prone patient
- Touch-screen controls automatically control therapy system
- Separate hand control allows caregiver to monitor patient lines and tubes during rotation
- Tube management system helps secure patient lines during rotation
To find out more about the RotoProne Therapy system, click below:
The RotoProne Therapy is currently available in 51 US cities and the surrounding geographies (approximately 35 miles around the city). Included is an attachment (RotoProne Service Centers) that shows the cities. Arjo is hoping to add more cities this year.
Q. Can families rent the RotoProne bed?
A. The Hospital rents RotoProne. Patients/Families cannot directly rent the product, however, they can ask for the product.
ARTICLE #1: Ventilatory Management of Acute Respiratory Distress Syndrome: A Consensus of Two.
Marini JJ, Gattinoni L. Ventilatory management of acute respiratory distress syndrome: a consensus of two. Crit Care Med. 2004;32(1):250-255.
This article provides a practical guideline for ventilator management of ARDS with a special emphasis on preventing ventilator-induced lung injury. On page 253, the authors provide guidance about when to prone patients with ARDS. “We place in the prone position those requiring >10 cm H20 PEEP at FiO2 of ?0.6 to maintain oxygen saturation at ?90%, unless there is a clear contraindication or the patient is rapidly improving.”
ARTICLE #2: Prone Ventilation in Trauma or Surgical Patients with Acute Lung Injury and Adult Respiratory Distress Syndrome: is it Beneficial?
Davis JW, Lemaster DM, Moore EC, et al. Prone ventilation in trauma or surgical patients with acute lung injury and adult respiratory distress syndrome: is it beneficial? J Trauma. 2007;62:1201-1206.
This article compares the effectiveness of supine versus prone kinetic therapy in mechanically ventilated trauma and surgical patients with acute lung injury (ALI) and adult respiratory distress syndrome (ARDS). The conclusions of this article show that patients with ALI/ARDS who received prone kinetic therapy had greater improvement in oxygenation (P/F ratio increase), a reduction in the number of ventilator days, lower mortality, and less pulmonary-related mortality than did supine positioned patients.
ARTICLE #3: Prone Positioning Improving Oxygenation in Patients with ARDS.
GREAT ARTICLE FOR PATIENTS AND NURSES
Kennison M, Yost III W. Prone positioning Improving oxygenation in patients with ARDS. Nursing2009CriticalCare. 2009; 4 (3): 42-46.
This article helps the reader to learn about how prone therapy can help turn ARDS outcomes around.