Metas de Enfermería

Metas de Enfermería

NOVIEMBRE 2014 N° 9 Volumen 17

Prone position: a technique to improve the hypoxemia in acute respiratory distress syndrome

Section: Hands on

How to quote

Hidalgo Fabrellas I, Rebollo Pavón M, Maceiras Bertolo B, Barriga González M, Giró Roca E, García Bonavila L et al. Decúbito prono: una técnica para mejorar la hipoxemia del síndrome del distrés respiratorio agudo. Metas Enferm nov 2014; 17(9): 11-14.


1Isabel Hidalgo Fabrellas, 1Manoli Rebollo Pavón, 1Begoña Maceiras Bertolo, 1Mireia Barriga González, 1Eva Giró Roca, 1Laura García Bonavila, 2Librada Hidalgo Torrent 


1Enfermera. Hospital Universitario Dr. Josep Trueta de Girona.2Auxiliar de Enfermería. Hospital Universitario Dr. Josep Trueta de Girona.

Contact address

Isabel Hidalgo Fabrellas. C/ Joan Fuster, 44. 17833 Fontcoberta (Girona).

Contact email: foradai@hotmail.com


Acute Respiratory Distress Syndrome (ARDS) represents a severe respiratory complication often shown by patients hospitalized in Intensive Care Units (ICUs), and it is associated with high incidence and mortality; hence the importance of its fast diagnosis and treatment.
The prone position leads to a noticeable improvement in oxygenation and pulmonary redistribution of patients with ARDS. However, the use of the prone position at ICUs involves certain changes in daily treatment, and requires the protocolization of the action before, during and after the manoeuvre, as well as its follow-up in order to prevent any potential complications.
Based on a bibliographic review and taking into account our own experience and the way we work in this hospital, this article describes the potential benefits of this technique, how to perform it adequately, its indications and contraindications, potential complications, and nursing interventions for prevention or early detection.


Acute Respiratory Distress Syndrome; prone position; critical patient; critical care; procedure

Versión en Español


Decúbito prono: una técnica para mejorar la hipoxemia del síndrome de distrés