What are the benefits of using Prone Therapy?
Studies have shown that placing patients in the prone position may help:
- Reduce mortality in ARDS patients when implemented early and applied for longer periods of time (Mancebo 2006, Davis 2007)
- Facilitate drainage of pulmonary secretions (Pelosi 2002)
- Decrease pleural pressures in the dependent portions of the lungs (Mutoh 1992)
- Eliminate compression of the lungs by the heart (Albert 2000)
- Improve ventilation and perfusion matching (Pappert 1994)
How can I manage patient lines and tubes while utilizing the RotoProne™ Therapy System?
The RotoProne Therapy System has a unique tube management system designed to help minimize binding, disconnecting and dislodging of tubing during rotation and movement between prone and supine positions. The accessory rack at the foot end of the system can hold chest drainage units, foley bags and other items that run through the foot end of the unit.
How do I secure the endotracheal tube(ETT) before proning?
The weight of the connector mechanism between the ETT and the ventilator tubing may be taped or secured with trach ties to the facemask. Be sure the ETT is securely taped to the patient prior to proning.
An X-ray and reinforcing the ETT may be beneficial to ensure placement and security of the airway. The ventilator tubing is then routed through the tube management system to minimize tangling.
In clinical research, use of Prone Therapy has shown positive clinical results:
- 17% shorter ventilation time (Watanabe 2002)
- 26% shorter ICU length of stay (Watanabe 2002)
- Lower VAP incidence in acute respiratory failure patients (Guerin 2004)
What are the benefits of using Kinetic Therapy™?
Studies have shown that Kinetic Therapy can help:
- Reduce ICU-acquired pneumonia by up to 50% (Chol 1992)
- Reduce ICU length of stay by up to 24% (Chol 1992)
- Reduce ventilation time by up to 42% (Fink 1992)
How do I address peripheral/central lines or groin lines?
Care must be taken when handling and securing patient lines (peripheral/central/chest tubes/foley/EKG, etc.). Central lines/ subclavian should be routed, when feasible, via areas with less exerted pressure.
Care must also be taken to reduce risk of skin breakdown. Vigilant visual assessment must be employed to detect and address any complications. Various skin care products may be used. Make certain that lines are also unobstructed.
Chest tubes, foley catheters and/or femoral lines that travel through the abductor apparatus groove should be free flowing. As an added measure, once the lines are placed, you may secure with tape across the groove. EKG leads should be placed on the posterior aspect of the thorax.