Improving and manufacturing “pillows” to allow prone positioning (bukläge) in intubated patients with acute respiratory distress syndrome (ARDS).
Acute respiratory distress syndrome (ARDS) is a common complication to the covid-19 disease and the major reason patients need mechanical ventilation. There is no direct treatment for this but rather so called supportive care is utilized. A major part of this is based around intubating and ventilating patients and it turns out that the manner in which patients are ventilated (low vs high volumes, driving pressures etc.) affects patient mortality. One cornerstone of modern ventilation strategies is prone positioning in which the patients are flipped on their stomach and ventilated for extended periods of time (>12h has been used as cutoff in at least one study). Prone positioning has shown MORTALITY benefit (Taccone P, et al. Prone positioning in severe acute respiratory distress syndrome. JAMA. 2009;302(18):1977). The maneuver of safely flipping patients over is logistically challenging and requires (or is at last made a lot easier by) special support “pillows” for patients to be able to stay prone.
Pm from Västra Götalandsregionen which describes one way to prone patients and includes images of the procedure and of the pillows.buklaege_med_speciella_kuddar_pa_iva.pdf