The Prone Position in Acute Lung Injury

  • Michael Linden GreenEmail author
  • Martha A. Q. Curley
  • John H. Arnold


Refractory hypoxemia is a characteristic feature of severe ARDS. Over the last 30 years, prone positioning is one intervention clinicians have used to improve oxygenation in these patients. Prone positioning improves oxygenation via better ventilation-to-perfusion matching and improved lung mechanics while reducing the potential for ventilator-associated lung injury. In both pediatric and adult studies, prone positioning has been found to be a safe and relatively noninvasive maneuver for patients with ARDS. Though prone positioning clearly improves oxygenation, clinical trials have not demonstrated improvements in survival or morbidity.


Chest Wall Prone Position Pressure Ulcer Functional Residual Capacity Oxygenation Index 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Michael Linden Green
    • 1
    Email author
  • Martha A. Q. Curley
    • 2
  • John H. Arnold
    • 3
    • 4
  1. 1.Division of Critical Care Medicine, Department of PediatricsUniversity of Texas Southwestern Medical CenterDallasUSA
  2. 2.Ellen and Robert Kapito Professor in Nursing Science, School of Nursing, Anesthesia and Critical Care MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Department of Anesthesia and Critical Care MedicineChildren’s HospitalBostonUSA
  4. 4.Department of AnaesthesiaBostonUSA

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