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.