Avoiding complications during prone position ventilation

Abstract Prone position ventilation (PPV) is a critical intervention for patients with acute respiratory distress syndrome (ARDS), particularly in moderate to severe cases and those requiring extracorporeal membrane oxygenation (ECMO). When applied early and for prolonged sessions (>16 hours), PPV optimizes pulmonary perfusion and gas exchange, significantly reducing 28-day mortality. However, its implementation involves risks such as accidental extubation, vascular access loss, pressure injuries, and hemodynamic instability. This article highlights the role of nursing staff in mitigating these complications through meticulous preparation, including securing tubes and catheters, monitoring sedation, and following a structured checklist. Post-procedure care emphasizes patient monitoring, prevention of pressure ulcers, and management of enteral nutrition. A well-trained team and adherence to protocols are essential to enhance patient safety and outcomes during PPV.