The Rise of Prone Positioning

Prone positioning has transitioned from a salvage procedure for ARDS, to a more routine part of the armamentarium (including , neuromuscular blockade, inhaled prostacyclin, APRV) based on the dramatic success seen in the study by Claude Guérin published in the New England Journal of medicine in 2013. In this trial involving 466 patients, a mortality benefit of over 50 % was seen at 28-days and 90-days.