Prone position ventilation combined with high-flow nasal cannula oxygen therapy in patients with pulmonary infection: a retrospective study on evidence-based nursing practice - Scorecard - MDSpire

Prone position ventilation combined with high-flow nasal cannula oxygen therapy in patients with pulmonary infection: a retrospective study on evidence-based nursing practice

  • By

  • Wenjun Lai

  • Jing Fei

  • Ye Gao

  • Yan He

  • July 6, 2026

  • 0 min

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Clinical Scorecard: Evaluation of Prone Ventilation and High-Flow Nasal Cannula Oxygen Therapy in Patients with Pulmonary Infections: A Retrospective Analysis of Evidence-Based Nursing Approaches

At a Glance

CategoryDetail
ConditionPulmonary infections
Key MechanismsProne position ventilation (PPV) and high-flow nasal cannula (HFNC) oxygen therapy improve oxygenation and reduce complications.
Target PopulationPatients with pulmonary infections requiring respiratory support.
Care SettingTertiary hospitals

Key Highlights

  • PPV combined with HFNC showed greater improvements in PaO2/FiO2 ratio and SpO2 compared to conventional therapy.
  • Total complications were significantly lower in the observation group (9.0% vs. 45.0%).
  • ICU admission rates were reduced in the observation group (5.0% vs. 19.0%).
  • Length of hospital stay was shorter in the observation group (8.7 ± 2.4 days vs. 12.0 ± 2.9 days).
  • Nurse-assessed comfort and compliance scores were higher in the observation group.

Guideline-Based Recommendations

Diagnosis

  • Assess for acute respiratory failure due to pulmonary infection.

Management

  • Consider PPV combined with HFNC for patients with hypoxemic respiratory failure.

Monitoring & Follow-up

  • Monitor oxygenation indices (PaO2/FiO2 ratio, SpO2) and respiratory rate.

Risks

  • Be aware of potential complications and the need for ICU admission.

Patient & Prescribing Data

Critically ill patients with pulmonary infections.

HFNC can reduce the need for mechanical ventilation and improve patient comfort.

Clinical Best Practices

  • Implement evidence-based nursing protocols to enhance patient comfort and compliance.
  • Utilize combined therapies of PPV and HFNC for optimal respiratory outcomes.

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