Design and application of a checklist for prone ventilation in hypoxic respiratory failure in the awake state
TANG Tianjuan
ZHU Lin
TAN Yuquan
RONG Huan
Abstract：Objective To design a checklist that can be used during prone ventilation in the awake state in patients with hypoxic respiratory failure to ensure the safety of patients in the prone position.Methods A checklist for prone ventilation in case of hypoxic respiratory failure in the awake state was designed using brainstorming on the basis of evidence-based translation of medicine.Using a retrospective cohort design method,the 41 patients treated between January 2018 and October 2020(before the checklist was used)were assigned to the control group while another 43 cases treated between November 2020 and June 2022 were assigned to the observation group(after the checklist was used).The duration of prone ventilation and the incidence of adverse events were recorded.Results The duration of prone ventilation,the time taken to return to the supine position and the total duration of surgery in the observation group were shorter than in the control group(Z=8.002,5.141,6.575,all P＜0.001).The preparation for prone ventilation took a longer time in the observation group than in the control group(Z=3.346,P=0.001).Only one case of unplanned extubation and two cases of mucus-related skin injury occurred in the observation group,where the incidence of adverse reactions was 6.98％,with no statistically significant difference compared with the control group(x2=4.865,P=0.027).Conclusion The checklist for prone ventilation in the awake state in patients with hypoxic respiratory failure can shorten prone ventilation and enhance the safety of interventions,but the patients'pre-ventilation preparation can take more time.
Keywords：Hypoxic respiratory failureProne ventilationChecklist
Publication Date：2023-12-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 521-524 )