Pre-Proning Preparation for the Mechanically-Ventilated Patient:
Gather necessary equipment according to Proning Checklist
Verify ETT is well secured
Optimize ventilator settings and pre-oxygenate patient: place patient on 100% oxygen
Suction ETT and oral cavity
Remove and cap unnecessary lines and tubes
Provide necessary physical care, including wound care and dressing changes
Ensure patient is well sedated (using RASS score), including neuromuscular blockade (using TOF) as appropriate
Have emergency airway cart accessible, including having appropriately sized ETT immediately available
Prone ventilation is recommended 12-16 hours daily.
Utilize the Organizational Proning Checklist here: https://www.lhsc.on.ca/media/3798/download
Is your critical care team utilizing a Pre-Proning strategy before turning patients? Are you meeting as a group to discuss individual roles to make your process efficient? Comment below what system is working for your team.