Evidence map›Paper›PMID 37137508›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2023

Awake prone positioning in acute hypoxaemic respiratory failure.

Bairbre A McNicholas, Miguel Ibarra-Estrada, Yonatan Perez, Jie Li, Ivan Pavlov, Aileen Kharat, David L Vines, Oriol Roca, David Cosgrave, Claude Guerin and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  5. [Awake prone position in critically ill patients-a practice recommendation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 6 countries.

Bairbre A McNicholasDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospital, Saolta Hospital Group, Galway, Ireland.
Miguel Ibarra-EstradaUnidad de Terapia Intensiva, Hospital Civil Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico.ORCID https://orcid.org/0000-0001-8914-4171
Yonatan PerezClinical Investigation Center, INSERM 1415, CHRU Tours, Tours, France.
Jie LiDepartment of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University, Chicago, IL, USA.ORCID https://orcid.org/0000-0003-0121-1291
Ivan PavlovDepartment of Emergency Medicine, Hôpital de Verdun, Montréal, QC, Canada.
Aileen KharatDepartment of Respiratory Medicine, Geneva University Hospital, Geneva, Switzerland.
David L VinesDepartment of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-8212-4925
Oriol RocaServei de Medicina Intensiva, Parc Taulí Hospital Universitari, Sabadell, Spain.
David CosgraveDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospital, Saolta Hospital Group, Galway, Ireland.
Claude GuerinUniversity of Lyon, Lyon and INSERM 955, Créteil, France.ORCID https://orcid.org/0000-0003-4700-6672
Stephan EhrmannClinical Investigation Center, INSERM 1415, CHRU Tours, Tours, France.
John G LaffeyDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospital, Saolta Hospital Group, Galway, Ireland john.laffey@nuigalway.ie.ORCID https://orcid.org/0000-0002-1246-9573
Ollscoil na Gaillimhe – University of Galway · IEInserm · FRRush University · USHospital Civil de Guadalajara · MXUniversitat Autònoma de Barcelona · ESUniversité Claude Bernard Lyon 1 · FRUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Awake prone positioning (APP) of patients with acute hypoxaemic respiratory failure gained considerable attention during the early phases of the coronavirus disease 2019 (COVID-19) pandemic. Prior to the pandemic, reports of APP were limited to case series in patients with influenza and in immunocompromised patients, with encouraging results in terms of tolerance and oxygenation improvement. Prone positioning of awake patients with acute hypoxaemic respiratory failure appears to result in many of the same physiological changes improving oxygenation seen in invasively ventilated patients with moderate-severe acute respiratory distress syndrome. A number of randomised controlled studies published on patients with varying severity of COVID-19 have reported apparently contrasting outcomes. However, there is consistent evidence that more hypoxaemic patients requiring advanced respiratory support, who are managed in higher care environments and who can be prone for several hours, benefit most from APP use. We review the physiological basis by which prone positioning results in changes in lung mechanics and gas exchange and summarise the latest evidence base for APP primarily in COVID-19. We examine the key factors that influence the success of APP, the optimal target populations for APP and the key unknowns that will shape future research.

Indexed as

COVID-19Respiratory Distress SyndromeRespiratory InsufficiencyHumansLungPatient PositioningProne PositionWakefulness

Identifiers

PMID37137508
PMCPMC10155045
OpenAlexW4368358185

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.