Expert consensus on implementation strategy of awake prone positioning for non-intubated patients in China (2023).

Yuanyuan MI; Zheyi Cai; Jing Liu; Fei Tian; Liping Yang; Lei Bao; Shanbing Hou; Su GU; Li LI; Xueli Zhou; Yun XU; Shumei Zhang; Xiaoxia FU; Xiaodi LI; Chuansheng LI; Liang Sun; Xiaohong Zhang; Hong QI; Shiying Yuan; Liqun Zhu; Haiyan Huang; You Shang

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Expert consensus on implementation strategy of awake prone positioning for non-intubated patients in China (2023).

Author: Yuanyuan MI ¹ ; Zheyi CAI ² ; Jing LIU ³ ; Fei TIAN ⁴ ; Liping YANG ⁵ ; Lei BAO ⁶ ; Shanbing HOU ⁷ ; Su GU ⁸ ; Li LI ⁹ ; Xueli ZHOU ⁹ ; Yun XU ¹⁰ ; Shumei ZHANG ¹¹ ; Xiaoxia FU ¹² ; Xiaodi LI ¹³ ; Chuansheng LI ¹⁴ ; Liang SUN ¹⁵ ; Xiaohong ZHANG ^{16
,

17} ; Hong QI ¹ ; Shiying YUAN ¹ ; Liqun ZHU ⁹ ; Haiyan HUANG ¹ ; You SHANG ¹
Author Information

1. Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China.
2. Department of Critical Care Medicine, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, Hunan, China.
3. Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China.
4. Department of Critical Care Medicine, The First Clinical Medicine College of China Three Gorges University, Yichang 433000, Hubei, China.
5. Department of Emergency, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, Jiangsu, China.
6. Department of Anesthesia and Operation Room, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, Jiangsu, China.
7. Department of Nursing, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230000, Anhui, China.
8. Department of Emergency, Yancheng No.1 People's Hospital, Yancheng 224000, Jiangsu, China.
9. Department of Nursing, Affiliated Hospital of Jiangsu University, Zhenjiang 212001, Jiangsu, China.
10. Department of Day Ward, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui, China.
11. Department of Critical Care Medicine, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, Henan, China.
12. Department of Infection Prevention and Control, The Third People's Hospital of Luoyang, Luoyang 471002, Henan, China.
13. Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471000, Henan, China.
14. Department of Intensive Care Medicine, Yantai Yuhuangding Hospital, Yantai 264000, Shandong, China.
15. Department of Critical Care Medicine, Jianghan University Affiliated Hospital, Wuhan 430015, Hubei, China.
16. Department of Nursing, Xiangyang Central Hospital, Xiangyang 441021, Hubei, China.Corresponding author: Shang You, Email: you_shanghust@163.com
17. Zhu Liqun, Email: 2495409460@qq.com.
Publication Type:Journal Article
MeSH: Humans; Consensus; Prone Position; Wakefulness; China; Dyspnea
From: Chinese Critical Care Medicine 2023;35(4):337-351
CountryChina
Language:Chinese
Abstract: The awake prone position plays an important role in the treatment of hypoxemia and the improvement of respiratory distress symptoms in non-intubated patients. It is widely used in clinical practice because of its simple operation, safety, and economy. To enable clinical medical staff to scientifically and normatively implement prone position for awake patients without intubation, the committees of consensus formulation, guided by evidence-based methodology and Delphi method, conducted literature search, literature quality evaluation and evidence synthesis around seven topics, including indications and contraindications, evaluation, implementation, monitoring and safety management, termination time, complication prevention and health education of awake prone position. After two rounds of expert letter consultation, Expert consensus on implementation strategy of awake prone positioning for non-intubated patients in China (2023) was formulated, and provide guidance for clinical medical staff.