Prone Positioning of the Burn Patient With Acute Respiratory Distress Syndrome: A Review of the Evidence and Practical Considerations

J Burn Care Res. 2018 Apr 20;39(3):471-475. doi: 10.1097/BCR.0000000000000601.

Abstract

Acute respiratory distress syndrome (ARDS) is a common sequela of severe burns and inhalation injury. The massive inflammatory reaction that follows deep burn injury, compounded by episodes of sepsis and organ dysfunction, predisposes patients to the development of ARDS. Prone positioning as a means of improving gas exchange has shown benefit in refractory cases of ARDS, but it is not well described in the burn population. We present a case report of a patient with severe ARDS who underwent prone positioning, review the relevant literature, and provide a discussion of practical concerns.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Bronchoscopy
  • Burns / complications*
  • Burns / therapy*
  • Humans
  • Male
  • Prone Position*
  • Respiratory Distress Syndrome, Adult / diagnostic imaging
  • Respiratory Distress Syndrome, Adult / etiology*
  • Respiratory Distress Syndrome, Adult / therapy*
  • Risk Factors
  • Tomography, X-Ray Computed