Return To The Previous Page
Buy a Package
Number Of Visible Items Remaining : 3 Item

Prone position: Contraindications and complications

Prone position: Contraindications and complications
Contraindications Complications
  • Acute bleeding (eg, hemorrhagic shock, massive hemoptysis)
  • Multiple fractures or trauma (eg, unstable fractures of femur, pelvis, face)
  • Spinal instability
  • Raised intracranial pressure >30 mmHg or cerebral perfusion pressure <60 mmHg
  • Tracheal surgery or sternotomy within 2 weeks
  • Nerve compression (eg, brachial plexus injury)
  • Crush injury
  • Venous stasis (eg, facial edema)
  • Dislodging endotracheal tube
  • Diaphragm limitation
  • Pressure sores (eg, facial)
  • Dislodging vascular catheters or drainage tubes
  • Retinal damage
  • Transient reduction in arterial oxygen saturation
  • Vomiting
  • Transient arrhythmias
Relative contraindications
  • Shock (eg, persistent mean arterial pressure <65 mmHg)
  • Anterior chest tube(s) with air leaks*
  • Major abdominal surgery
  • Recent pacemaker*
  • Clinical conditions limiting life expectancy* (eg, oxygen or ventilator-dependent respiratory failure)
  • Severe burns*
  • Recent lung transplant recipient*
* Based upon exclusion criteria from the Prone Positioning in Severe ARDS trial (PROSEVA).
Data from:
  1. Ryan DW, Pelosi P. The prone position in acute respiratory distress syndrome. BMJ 1996; 312:860.
  2. Guérin C, Reignier J, Richard JC, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med 2013; 368:2159.
Graphic 68536 Version 8.0

Do you want to add Medilib to your home screen?