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Why is Prone Positioning So Unpopular?

Overview
Publisher Biomed Central
Specialty Critical Care
Date 2016 Dec 10
PMID 27933169
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Abstract

Recent studies have shown acute respiratory distress syndrome (ARDS) to be underdiagnosed and inadequately treated, as evidenced by underutilization of low-tidal volume ventilation. Despite a proven survival benefit in patients with severe ARDS, studies have also shown underutilization of prone positioning. Many questions persist as to the reasons for prone positioning's unpopularity. Additional studies are required to uncover the causes of this prone positioning underutilization phenomenon.

References
1.
Guerin C, Reignier J, Richard J, Beuret P, Gacouin A, Boulain T . Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013; 368(23):2159-68. DOI: 10.1056/NEJMoa1214103. View

2.
Tashkin D, Celli B, Senn S, Burkhart D, Kesten S, Menjoge S . A 4-year trial of tiotropium in chronic obstructive pulmonary disease. N Engl J Med. 2008; 359(15):1543-54. DOI: 10.1056/NEJMoa0805800. View

3.
Luedike P, Totzeck M, Rammos C, Kindgen-Milles D, Kelm M, Rassaf T . One-year experience with an acute respiratory distress syndrome standard operating procedure on intensive care unit. J Crit Care. 2015; 30(5):1114-8. DOI: 10.1016/j.jcrc.2015.06.024. View

4.
Bloomfield R, Noble D, Sudlow A . Prone position for acute respiratory failure in adults. Cochrane Database Syst Rev. 2015; (11):CD008095. PMC: 6464920. DOI: 10.1002/14651858.CD008095.pub2. View

5.
Athota K, Millar D, Branson R, Tsuei B . A practical approach to the use of prone therapy in acute respiratory distress syndrome. Expert Rev Respir Med. 2014; 8(4):453-63. DOI: 10.1586/17476348.2014.918850. View