Intensive Care Nursing/Prone Position Procedure


 * Indications:
 * Severe ARDS
 * Contraindications:
 * C-spine precautions
 * Haemodynamic instability (although can still perform CPR in prone position)
 * Increased or concern with abdominal pressure
 * Extreme obesity
 * Increased intracranial pressure
 * Staff not trained/skilled or not enough personnel to carry out safely

Reference:
[http://www.nejm.org/doi/pdf/10.1056/nejmoa1214103 Guérin, Reignier, Richard, Beuret, Gacouin, Boulain,. . . Ayzac. (2013). Prone Positioning in Severe Acute Respiratory Distress Syndrome. The New England Journal of Medicine, 368(23), 2159-2168.]

Note: this is not a formal guide or competency checklist for performing prone position procedure
 * Video Resources:
 * UK 'Cornish Pasty' Critical Care approach from Tutorial WHH
 * National teaching institute & critical care symposium demonstration by St. Joseph's Medical Center
 * French approach from PROSEVA Trial prone instructional video in NEJMvideo