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Abstract：
To identify and critically evaluate methods for proning patients with COVID-19 in the intensive care unit (ICU).
Acute respiratory distress syndrome (ARDS) is common in hospitalized patients with COVID-19. Proning improves blood oxygenation and survival rates in these patients but is not commonly performed due to the difficulty of the procedure.
An academic literature review, internet video search, and consultation with five subject-matter experts was performed to identify known methods for proning. Evaluation of each method considered the number of healthcare workers required, physical stresses on staff, risk of adverse events to patients, and equipment cost and availability.
Several variations of manual techniques and-lift assisted techniques were identified in addition to a specialized proning bed. Manual methods require more healthcare workers, higher physical stresses, and greater risk of adverse events than lift-assisted methods or the proning bed.
Both the specialized proning bed and a lift-assisted method using straps largely eliminated manual forces required for proning while allowing for a controlled lowering and positioning of the patient.
This review will guide practitioners to the most suitable methods for proning patients in the ICU.
Acute respiratory distress syndrome (ARDS) is common in hospitalized patients with COVID-19. Proning improves blood oxygenation and survival rates in these patients but is not commonly performed due to the difficulty of the procedure.
An academic literature review, internet video search, and consultation with five subject-matter experts was performed to identify known methods for proning. Evaluation of each method considered the number of healthcare workers required, physical stresses on staff, risk of adverse events to patients, and equipment cost and availability.
Several variations of manual techniques and-lift assisted techniques were identified in addition to a specialized proning bed. Manual methods require more healthcare workers, higher physical stresses, and greater risk of adverse events than lift-assisted methods or the proning bed.
Both the specialized proning bed and a lift-assisted method using straps largely eliminated manual forces required for proning while allowing for a controlled lowering and positioning of the patient.
This review will guide practitioners to the most suitable methods for proning patients in the ICU.
摘要：
确定并严格评估重症监护病房（ICU）中COVID-19患者的治疗方法。
急性呼吸窘迫综合征（ARDS）在COVID-19住院患者中很常见。Prooning可改善这些患者的血液氧合和生存率，但由于手术困难，通常不进行。
学术文献综述,互联网视频搜索，并与五名主题专家进行了磋商，以确定已知的方法。对每种方法的评估考虑了所需的医护人员数量，对员工的身体压力，患者不良事件的风险，以及设备成本和可用性。
除了专门的脚踏床之外，还确定了手动技术和提升辅助技术的几种变体。手动方法需要更多的医护人员，更高的物理应力，并且不良事件的风险高于升降机辅助方法或铺床。
专门的踩踏床和使用绑带的提升辅助方法在很大程度上消除了踩踏所需的手动力，同时允许患者的受控降低和定位。
这篇综述将指导从业人员选择最合适的方法来为ICU中的患者提供服务。
急性呼吸窘迫综合征（ARDS）在COVID-19住院患者中很常见。Prooning可改善这些患者的血液氧合和生存率，但由于手术困难，通常不进行。
学术文献综述,互联网视频搜索，并与五名主题专家进行了磋商，以确定已知的方法。对每种方法的评估考虑了所需的医护人员数量，对员工的身体压力，患者不良事件的风险，以及设备成本和可用性。
除了专门的脚踏床之外，还确定了手动技术和提升辅助技术的几种变体。手动方法需要更多的医护人员，更高的物理应力，并且不良事件的风险高于升降机辅助方法或铺床。
专门的踩踏床和使用绑带的提升辅助方法在很大程度上消除了踩踏所需的手动力，同时允许患者的受控降低和定位。
这篇综述将指导从业人员选择最合适的方法来为ICU中的患者提供服务。
