Prevention of Pressure Sores in the Prone Position in ARDS Patients

A Nursing Strategy to Prevent Pressure Sores in the Prone Position in ARDS Patients. A Multicenter Controlled Prospective Stepped Wedge Trial

A nursing strategy to prevent pressure sores in the prone position in Acute Respiratory Distress Syndrome (ARDS) patients. A multicenter controlled prospective stepped wedge trial.

Inclusion Criteria:

• 18 years or more in age
• staying in Intensive Care Unit (ICU)
• Intubated
• mechanically ventilated
• severe ARDS defined as arterial Pressure in Oxygen (PaO2)/ Oxygen Inspired Fraction (FIO2) < 150 mmHg with positive end-expiratory pressure (PEEP) ≥ 5 cmH2O and FIO2 ≥ 0.60
• prone positioning indicated by the clinician in charge
• weight < 140 kgs
• agreement to participate obtained from the confidence person of the patient
• affiliated to social protection insurance

Exclusion Criteria:

• contra-indication to the prone positioning
• prone positioning before inclusion
• person under legal protection
• pregnancy
• weight > 140 kg
• tracheotomy
• extracorporeal membrane oxygenation (ECMO)
• Refusal to participate