Mechanically ventilated patients
Conditions
Interventions
5° angle prone ventilation:In the supine position, the head of the bed was elevated by 30°, and the patients sacrococcygeal area was plastered with pressure-relieving patches to prevent pressure injur
15° angle prone ventilation:In supine position, the head of the bed was elevated by 30°
in prone position, the bed was tilted by 15°, so that the patients were in the head-high-feet-low position, and soft pillows were placed on both sides of the patients bilateral shoulders and hips, to
and soft pillows were placed on the end of the bed, to prevent the patient from sliding down or generating friction due to gravity, and the rest of measures were the same as in the conventional group.
Sponsors
The First Affiliated Hospital, Sun Yat-sen University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: The patients were 1. aged >=18 years; 2. met the indications for prone mechanical ventilation, and the duration of each prone position was >=12h; 3.had already been on prone mechanical ventilation for >=24h at the time of admission to the ICU; 4. the expected duration of prone mechanical ventilation was >=48h; and 5. obtained the consent of the patients or their family members to participate in this study voluntarily.
Exclusion criteria
Exclusion criteria: 1.There are contraindications to prone position, including face/neck trauma or unfixed spine; recent open thoracic or open abdominal surgery; large-area burns; elevated intracranial pressure; hemoptysis; high-risk patients requiring cardiopulmonary resuscitation or defibrillation, and contraindications to medical prescriptions, etc.; 2.patients who do not cooperate with the treatment or do not comply with the positional care; 3.the collection of condition data and observation indexes is incomplete and affects the analysis of the patients; 4.the patients who are also participating in other similar studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oxygenation Index;Hemodynamics; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure Injury;Incidence of airway-related complications;Duration of mechanical ventilation;ICU days of hospitalization; | — |
Countries
China
Contacts
Public ContactShouzhen Cheng
The First Affiliated Hospital
Outcome results
None listed