Proning Procedure
Proning Procedure - Related Videos
06:56
COVID-19 / Coronavirus Outbreak: How to perform complete prone positioning in COVID-Patients
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2020
In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff while reducing the risk of infection. COVID-19 patients often develop an acute respiratory distress syndrome with respiratory failure. Prone positioning is established as a core component of management in COVID-19 patients, to enable ventilation of a greater lung area and thereby improve gas exchange. This...
04:40
Simultaneous Electroencephalography and Magnetoencephalography to Identify Seizure-Prone Brain Regions
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2025
Source: Papadelis, C., et al., Interictal High Frequency Oscillations Detected with Simultaneous Magnetoencephalography and Electroencephalography as Biomarker of Pediatric Epilepsy. J. Vis. Exp. (2016). This video demonstrates the method of using electroencephalography (EEG) and magnetoencephalography (MEG) recordings to identify interictal epileptiform discharges (IEDs) and high-frequency oscillations (HFOs) to locate seizure-prone regions in the brain.
07:16
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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2022
Proning a critically ill patient with severe acute respiratory distress syndrome (ARDS) is a complex but beneficial procedure. Excellent communication skills, team work, and multidisciplinary collaboration are critical for patient and staff safety. A standard procedure should be utilized when proning ventilated patients with tubes, drains, and vascular access devices.
04:57
Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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2025
Here, we present a single-position prone lateral retropleural corpectomy with a rotatable Jackson table. This technique is feasible for diverse etiologies, including deformity, infection, traumas, and tumors.
05:42
Misfolding-Prone Protein Degradation Assay: A Technique to Monitor Misfolded Protein Degradation Using Cycloheximide Treatment and Detergent Fractionation
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2025
This video describes a degradation assay for misfolded proteins using cycloheximide treatment along with detergent fractionation. This method aids in studying the dynamics of misfolded proteins and uncovering the in-depth mechanisms of protein turnover.
FAQs
Turning a patient from supine to prone changes how ventilation and blood flow are distributed across the lungs. This can improve ventilation-perfusion matching, meaning that air reaches lung regions in better proportion to their blood flow. The resulting improvement in gas exchange is especially relevant when severe respiratory illness limits the effectiveness of conventional positioning.
Prone positioning can help reopen or recruit dependent lung regions that may not participate effectively in gas exchange while the patient is supine. Greater participation of these regions can support more evenly distributed ventilation and improve oxygenation. This mechanism explains why clinicians may consider the technique when respiratory illness produces substantial oxygenation problems.
For a mechanically ventilated patient, repositioning must be coordinated with airway management and the attached medical equipment. Clinicians need to preserve airway security while moving the patient and maintain appropriate access to ventilator connections and other devices. These requirements make proning a coordinated clinical intervention rather than a simple change in body position.
Care focuses on preserving the airway, keeping essential medical equipment accessible, and limiting pressure-related injuries. Face-down positioning can create challenges for equipment access and expose different body areas to sustained pressure, so continuous clinical attention is necessary. Monitoring helps clinicians identify problems early while maintaining the intended respiratory benefit of the position.
The procedure begins with coordinated preparation for movement from supine to prone. Clinicians account for the airway, ventilator or other medical equipment, and the patient’s monitoring needs before and during repositioning. Once face down, they continue observation and protect pressure-sensitive areas. The exact workflow depends on whether the patient is mechanically ventilated or awake.
Intensive care clinicians may consider proning when severe respiratory illness is associated with impaired oxygenation and the patient requires close monitoring. It can be used alongside mechanical ventilation, provided airway and equipment management are coordinated. The approach is therefore most relevant in settings where staff can observe respiratory status and respond to positioning-related complications.
Awake proning may be used when it is appropriate for the individual patient and can be carried out under supervision. Clinical observation remains important because the patient still needs monitoring for respiratory status, airway concerns, equipment access, and pressure-related problems. Supervision allows clinicians to support the position while assessing whether it is providing the intended benefit.
Clinicians monitor whether oxygenation improves while confirming that the airway remains protected and medical equipment stays accessible. They also watch for pressure-related injury during the position. These observations help determine whether the respiratory advantages of improved ventilation-perfusion matching and recruited lung regions are being achieved without creating preventable complications.