EFFECTS OF THE PRONE POSITION ON RESPIRATORY MECHANICS AND OXYGENATION IN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS): INTEGRATIVE REVIEW

Abstract

This article sought to determine the effects of using the prone position in patients with ARDS. This is an integrative literature review, based on the PICO strategy, to elucidate the selection of articles and a table showing the results that make up the review, the selection was made through searches of articles published in databases indexed in the Portuguese and English languages, between 2012 and 2022. 26 articles were analyzed. Of which 10 were selected to compose the table. The studies showed positive results in relation to oxygenation, demonstrated that there is an influence of the prone position on respiratory mechanics, there was a significant improvement in mortality rates and demonstrated the occurrence of adverse effects, although they did not have significant impacts. In summary, it is concluded that the maneuver has a very significant impact on respiratory physiology, being able to reduce mortality rates by reducing the risk of ventilator-induced lung injury (VILI), promoting greater oxygenation, providing an improvement in the function of the right ventricle and especially reducing its afterload, which should therefore be part of the treatment protocols.