Prone Positioning and Early Mobility
Presented by Karsten Roberts
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Despite evidence of improved outcomes, prone positioning and early mobilization are not routinely utilized in ICU settings. Both procedures require multidisciplinary competency to be performed successfully. Gaps in knowledge remain regarding best practices and the role of the respiratory therapist (RT). The goal of this course is to clarify the role of prone positioning in patients with acute respiratory distress syndrome (ARDS) and to examine the role of RTs in mobilizing patients via mechanical ventilation. The course reviews the rationale for utilizing prone positioning in patients with severe ARDS. Additionally, the role of the RT for prone positioning and early mobility utilizing a team approach will be covered throughout the course. At the end of this course, learners will be able to determine appropriateness for early mobilization and facilitate adjunctive therapies in the ICU.
Meet your instructor
Karsten Roberts
Karsten J. Roberts, MSc, RRT, RRT-ACCS, FAARC, is a respiratory therapist with nearly two decades of experience. He earned a baccalaureate degree from Boise State University and a master’s degree from Northeastern University. Karsten has been honored as both a Speciality Practitioner of the Year (2019) and a Fellow of the…
Chapters & learning objectives
1. Prone Positioning
Prone positioning is indicated in patients with severe ARDS, facilitating improvements in patient outcomes when applied appropriately. This chapter covers the knowledge needed for respiratory therapists to participate in successfully moving the patient from supine to prone position and back.
2. Early Mobilization
Early mobilization of mechanically ventilated patients requires keen assessment of overall stability. This chapter covers the traffic light guidelines for assessing patients’ ability to mobilize via mechanical ventilation.
3. Early Mobilization: Application
This chapter covers the important role of respiratory therapists in mobilizing patients on mechanical ventilation. The physiologic and cognitive improvements to patients’ conditions are also described.
