Cochrane · systematic review · CD007205
Lateral positioning for critically ill adult patients
Hewitt, N, Bucknall, T, Faraone, NM · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
3
No studies
4
Included studies
NR
No studies 4 · 44.4%Ungraded 2 · 22.2%Very low 0 · 0%Low 3 · 33.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Lateral positioning compared with supine immobilization
Population: critically ill adult patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality ‐ not measured Lateral positioning vs supine immobilization | no estimate extracted | NR | No studies |
Morbiditya ‐ not reported Lateral positioning vs supine immobilization | no estimate extracted | 2 studies · 85 participants | Ungraded |
Right lateral position compared with left lateral position
Population: critically ill adult patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypoxaemiaa Partial pressure of arterial oxygen (PaO2) < 60 mmHg Right lateral position vs left lateral position | no estimate extracted | 2 studies · 70 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Hypotensione ‐ not reported Right lateral position vs left lateral position | no estimate extracted | NR | No studies |
Profound hypertensiong ‐ not reported Right lateral position vs left lateral position | no estimate extracted | NR | No studies |
Low oxygen delivery (DO2)h ‐ not reported Right lateral position vs left lateral position | no estimate extracted | NR | No studies |
Global indicators of tissue oxygenation impairmentj Mixed venous saturation (SvO2) < 60% Right lateral position vs left lateral position | no estimate extracted | 3 studies · 103 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Bad lung down compared with good lung down for critically ill patients with unilateral lung disease
Population: critically ill adult patients with unilateral lung disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypoxaemia PaO2 < 60 mmHg Bad lung down vs good lung down | no estimate extracted | 2 studies · 19 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness, publication bias |
Global indicators of tissue oxygenation impairment Arterial‐venous oxygen content difference (C(a‐v)O2) ‐ not reported Bad lung down vs good lung down | no estimate extracted | 1 study · 30 participants | Ungraded |