West Yorkshire Critical Care Operational Delivery Network​
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Proning


Lying PRONE is when we place a ventilated patient on to their front. The process of getting a patient onto their front is known as Proning.

Prone ventilation has been used for many years to improve oxygenation in the management of the critically unwell patient with Acute Respiratory Distress Syndrome (ARDS) (MacDonald and Armstrong, 2000). The physiological benefits of prone ventilation have been well described: with improved ventilation-perfusion mismatching, recruitment of dependent lung regions and enhanced drainage of tracheobronchial secretions.

Available evidence suggests that prone positioning must be considered early in the disease process of ARDS and acute lung injury.

The optimal duration of prone ventilation has not been identified; however there is meta-analysis study (Beitler, Shaefi, Montesi at al 2014) to suggest a fall in mortality in patients ventilated in the prone position for over 12 hours. It is therefore recommended to prone patients for a period of at least 12 hours up to 24 hours, ideally coordinating the periods of turning with increased numbers of medical and nursing staff.

The Collaborative Benchmarking Group have produced a Relative/Carer Information leaflet to explain why we are turning their loved one prone.


ICS Guidance For: Prevention, diagnosis and management of Plexopathy during prone positioning 2020
File Size: 575 kb
File Type: pdf
Download File

April 2020 Guidance for Conscious Proning.pdf
File Size: 247 kb
File Type: pdf
Download File

Relatives Information on proning
File Size: 195 kb
File Type: pdf
Download File

ICS/FICM Proning Guidance Final 2019
File Size: 713 kb
File Type: pdf
Download File

LTHT Prone Guideline 2020
File Size: 3990 kb
File Type: pdf
Download File

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Watch this YouTube clip on how to turn your patient prone.
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  • Home
  • About the Network
    • Critical Care Units >
      • Airedale NHS Foundation Trust
      • Bradford Teaching Hospital NHS Trust
      • Calderdale & Huddersfield NHS Foundation Trust
      • Mid Yorkshire NHS Hospital Trust
      • Leeds Teaching Hospitals NHS Trust >
        • Leeds General Infirmary
        • St James's Hospital
      • Harrogate & District Hospital
    • Clinical Advisory Board
    • Network Team
    • Stakeholders
    • Contact us
  • Network Forums
    • Meeting Dates
    • Clinical Advisory Board Members Area
    • Senior Nurses Forum Members Area
    • Transfer >
      • Transfer Training Faculty Area
    • Rehabilitation Forum >
      • RF Members area
      • Rehabilitation Package
    • Education >
      • COVID 19 Educational Resorces
      • Post Registration Critical Care Courses
      • Nursing Leadership Programme
      • Ventilation
      • EF Members area
    • Outreach >
      • OF Members area
    • SILS >
      • Global Measures
      • Best Practice Education Tools
      • Medication Safety
      • Delirium
      • VAP Care Bundle
      • Proning
      • SILS Members area
      • Regional Benchmarking Group
  • Patient Information
  • Guidelines
    • Recent Publications
    • Standards
    • Clinical Guidelines
    • Operational Guidelines
    • Emergency Planning Resources
    • Transfer
    • Spinal Referrals
    • Burns Referrals
    • Paediatric Resources
    • Procedure Checklists
    • Useful Links
  • LTHT Course
    • Meet the Team
    • Useful Links
    • Pre Course Learning Zone
    • Student Information
    • Study Day Timetable
    • Fundamental Module >
      • Module Information
      • Intro & Respiratory Study Day
      • Cardiovascular Study Day
      • Acute Kidney Injury Study Day
      • Essay & MCQ Prep (Formative)
      • IC, Gastro & Nutrition Study Day
      • Pain Study Day
      • Assignment
      • Sedation Study Day
    • Advancing Module >
      • Module Information
      • Respiratory & Cardiovasular Study Day
      • Renal Study Day
      • Gastr & Neuro Study Day
      • Formative
      • Rehabilitation Study Day
      • Transfer Study Day
      • End of Life Study Day
      • Maternal
      • Multiple Organ Failure Study Day
  • Staff Wellbeing
  • Professional Nurse Advocate
  • DOS