Application of Prone Position Ventilation in Clinical Treatment ofPatients with COVID-19

Abstract

Based on the PIPOST tool to establish evidence-based issues, relevant domestic and foreign databases and websites were searched for clinical decisions, guidelines, evidence summaries, systematic reviews, recommended practices, and expert consensuses on the management of prone ventilation with acute respiratory distress syndrome. The retrieval time was from the establishment of the database to December 10, 2022, and the quality evaluation and evidence extraction of the literature that met the inclusion criteria were carried out. A total of 13 articles were included, including 1 clinical decision, 7 guidelines, 2 expert consensuses and 3 systematic evaluations [1-13]. 34 pieces of best evidence were summarized from 5 dimensions, namely pre-operation evaluation, operation implementation, end of prone ventilation, complication prevention and personnel organization management. The best evidence summarized in this study can provide a reference for clinical medical staff to implement prone position ventilation, but in clinical practice, it is necessary to select and apply evidence in a targeted manner in combination with specific circumstances, so as to improve the safety and therapeutic effect of prone position ventilation.