Prone Position in Non-Invasive Ventilation and High-Flow Oxygen Therapy

Prone Position in Non-Invasive Ventilation and High-Flow Oxygen Therapy

The aim of this trial is to study the effect of prone position during NIV and HFNC on acute hypoxemic respiratory patients.

Inclusion Criteria:

Adult patients with:

• ARDS/pneumonia/acute hypoxemic respiratory failure with PaO2/FiO2 between 150 and 300 (on 5 cmH2O PEEP level)

Exclusion Criteria

• General NIV or HFNC contraindications
• Immediate need for IOT
• Prone position intolerance
• Patients refusal to participate

Interventions:

• Prone position for 2-4 hours twice a day, for 3 days (first 3 days since admission to ICU)
• Nurse surveilance: at least every 15 minutes

Outcomes:

• Need for IOT
• Effects on the measurements specified above (particularly PaO2/FiO2)

Inclusion Criteria:

• Adult patients with:

  • ARDS/pneumonia/acute hypoxemic respiratory failure with PaO2/FiO2 between 150 and 300 (on 5 cmH2O PEEP level)

Exclusion Criteria:

• General NIV or HFNC contraindications
• Immediate need for IOT
• Prone position intolerance
• Patients refusal to participate