{
    "abstract": "Prone ventilation is a standard treatment for acute respiratory distress syndrome, and its clinical benefits are well established. However, implementing prone positioning safely and effectively is challenging in patients who are pregnant, have intra-abdominal hypertension, or are in other high-risk groups.\nA patient in the third trimester of pregnancy (28 weeks and 6 days of gestation) developed a body temperature of 39 \u00b0C and severe respiratory distress. She was transferred to the intensive care unit, received noninvasive ventilation, and ultimately underwent endotracheal intubation. Because her oxygenation index remained below 100, she received a diagnosis of severe acute respiratory distress syndrome.\nThe patient was safely placed in the prone position with a swim ring while receiving venovenous extracorporeal membrane oxygenation. During this period, her intra-abdominal pressure did not increase significantly.\nThe fetus was delivered by cesarean birth, and the patient was transferred to the general ward after extubation.\nThis case report describes the use of prone positioning in a pregnant patient. The report offers critical care nurses insights into the clinical management of patients who are pregnant or have intra-abdominal hypertension.",
    "authors": [
        {
            "affiliation": "Jiahao Xu is a resident physician, Department of Critical Care Medicine, West China Xiamen Hospital of Sichuan University, Xiamen, China.",
            "firstname": "Jiahao",
            "initials": "J",
            "lastname": "Xu"
        },
        {
            "affiliation": "Fangjie Fu is a resident physician, Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, China.",
            "firstname": "Fangjie",
            "initials": "F",
            "lastname": "Fu"
        },
        {
            "affiliation": "Qianrong Ding is a nurse in the West China Hospital of Sichuan University.",
            "firstname": "Qianrong",
            "initials": "Q",
            "lastname": "Ding"
        },
        {
            "affiliation": "Bo Wang is the chief physician, Department of Critical Care Medicine, West China Hospital of Sichuan University.",
            "firstname": "Bo",
            "initials": "B",
            "lastname": "Wang"
        },
        {
            "affiliation": "Peng Ji is the associate chief physician, Department of Critical Care Medicine, West China Hospital of Sichuan University.",
            "firstname": "Peng",
            "initials": "P",
            "lastname": "Ji"
        }
    ],
    "conclusions": "This case report describes the use of prone positioning in a pregnant patient. The report offers critical care nurses insights into the clinical management of patients who are pregnant or have intra-abdominal hypertension.",
    "copyrights": "\u00a92025 American Association of Critical-Care Nurses.",
    "doi": "10.4037/ccn2025831",
    "journal": "Critical care nurse",
    "keywords": [],
    "methods": null,
    "publication_date": "2025-02-01",
    "pubmed_id": "39889797",
    "results": null,
    "title": "Prone Positioning in a Pregnant Woman With Severe Acute Respiratory Distress Syndrome: A Case Report.",
    "xml": "<Element 'PubmedArticle' at 0x788506bc89a0>"
}