Aim: To review the existing literature, guidelines and recommendations to inform the best practice of proning among patients with coronavirus disease 2019 (COVID-19) related acute respiratory distress syndrome (ARDS).
Background: Proning is one promising therapy for patients with ARDS, but clear guidelines to guide practicing health care workers, especially in low-resource settings, are missing.
Review results: Four databases were searched systematically for this review. Search criteria included any type of research papers written in the English language and publications within the last 20 years (1st January 2000 and 31st May 2021). The extracted data from various articles were tabulated to reach conclusions.
Conclusion: Turning a patient into a prone position involves multiple sequential steps, and any error may lead to potential complications. The recommendations provided here aim to guide the personnel involved in this procedure so as to ensure patient safety and minimize the risk of complications.
Clinical significance: Complications can be reduced if a standard operational protocol for proning a patient is available. This article will provide specific guidelines to health care personnel who have less experience working in critical care areas.
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