- Before COVID, proning was clearly underused
- Recommendation for proning by official ARDS guidelines are strong that severe ARDS should receive proning>12hr/day
- Anecdotally have seen more proning during COVID
- Full team is more comfortable and familiar with it – it’s less new, RT and nursing are used to it and ask about it, etc
- But what do the numbers show?
- Retrospective review of proning during COVID 2020-2021 or pre-COVID ARDS 2018-2019 at academic and community hospitals
- Proning initiated faster and more in COVID vs historic ARDS (58%!!! vs 9%)
- Practice sustained throughout the pandemic
- Time will show if things will change over time if COVID numbers continue to stay low