TITLE:
Sandwich Rolling over Method in Patients with Prone Position Ventilation
AUTHORS:
Liping Bai, Mingrong Gao, Yajun Xu
KEYWORDS:
Prone Position Ventilation, Respiratory Distress Syndrome, Pressure Sores
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.11 No.6,
June
29,
2020
ABSTRACT: Background: Prone positioning is nowadays considered as one of the most effective strategies for patients with severe acute respiratory distress syndrome (ARDS). Prone position ventilation can lead to some severe complications. Effectively implement prone ventilation and reduce the incidence of complications become an important problem for clinical medical staff. Aims: To investigate whether the Sandwich rolling over method was convenient for clinical implementation and can reduce complications. Design: This is a single-center, retrospective, observational study. Results: The mean pronation cycles per patient were 6.11 ± 4.40. The mean time spent in prone position for each cycle was 10.05 ± 4.42 hours. Two patients developed a pressure sore and the positions were cheek, auricle and chest. The mean time it took from preparation to cover the patient with the quilt was 10.56 ± 4.35 minutes. Conclusions: This retrospective study has shown that under the close cooperation and supervision of the team, the implementation efficiency of prone position ventilation can be improved and the occurrence of complications can be reduced.