PronatorPlus™

Prone Ventilation

Problem

  • Prone ventilation for severe respiratory failure (P/F<150) reduces mortality by 50% (Guérin 2013 NEJM).
  • ARDS accounts for 10.4% of ICU admissions and 23.4% of patients requiring mechanical ventilations (Bellani 2016)
  • Manual proning requires a five-to-seven-person team
  • Frequent head checks (q2-3h) require three people 
  • More than 50% of nursing injuries are related to moving patients (Olinski 2017)

PronatorPlus™

Solution

  • Utilizes a snug wrap and a standard lift
  • Proning only requires a team of three
  • Head checks only require two people
  • Wrap remains under patient for duration of their ICU stay
  • Laundered between uses (reusable for 15 patient cycles)
  • Also facilitates general care (boost, rotation, lateral transfer)
  • Compatible with both ceiling and portable lifts
  • Supports up to 180kg / 400lb

PronatorPlus™

Benefits

  • Making prone ventilation easier means more frequent utilization (better patient outcome, lower mortality, decreased LOS) 
  • Provides healthcare team with control during patient care
  • Less risk of injury to nurses (less sick time, fewer WCB claims)
  • Investing in equipment for safe patient handling (prioritizing needs of frontline staff, retention and recruitment)
  • Much more efficient use of a limited resource (fewer people required, quicker)

Citations

Guérin 2013

  • Guérin, C., Reignier, J., Richard, J.C., Beuret, P., Gacouin, A., Boulain, T., Mercier, E., Badet, M., Mercat, A., Baudin, O. and Clavel, M., 2013. Prone positioning in severe acute respiratory distress syndrome. New England Journal of Medicine368(23), pp.2159-2168.

Bellani 2016

  • Bellani, G., Laffey, J.G., Pham, T., Fan, E., Brochard, L., Esteban, A., Gattinoni, L., Van Haren, F., Larsson, A., McAuley, D.F. and Ranieri, M., 2016. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. Jama, 315(8), pp.788-800.

Olinski 2017

  • Olinski, C. and Norton, C.E., 2017. Implementation of a safe patient handling program in a multihospital health system from inception to sustainability: Successes over 8 years and ongoing challenges. Workplace Health & Safety, 65(11), pp.546-559.