Q What is the preferred method for endotracheal tube (ETT) securement during prone positioning to prevent pressure injury (PI)?

A Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN-K, and Dannette A. Mitchell, MSN, APRN, ACNS-BC, CCRN, reply:

Since the PROSEVA (Proning Severe ARDS Patients) study in 2013, prone positioning has been an evidence-based therapeutic intervention used to improve oxygenation and outcomes in patients with moderate to severe acute respiratory distress syndrome (ARDS) receiving mechanical ventilation.2-4  During the COVID-19 pandemic, the use of prone positioning in intensive care units has increased dramatically because of the large influx of patients who have benefit-ted from this intervention. Prone positioning is now recognized as an evidence-based recommendation for patients with COVID-19 and ARDS receiving mechanical ventilation.5-7  Health systems have quickly developed and implemented protocols and policies to guide prone positioning, leading to many questions about how to prevent...

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