Abstract: Objective: To design and apply a Prone Position Ventilation (PPV) implementation checklist for patients with Acute Respiratory Distress Syndrome (ARDS). Methods: Based on literature review and clinical simulation, an implementation checklist for PPV was developed for patients with ARDS, which was applied to patients who required PPV in ICU. Following a pretest and posttest method, the rate of complications and the duration of PPV were compared before and after the application of the checklist. Results: After implementation of the PPV checklist, catheter slippage rate decreased from 52.9% to 10.5%, pressure injury rate decreased from 41.2% to 5.3% in patients with ARDS, and the average duration of prone position ventilation increased. Conclusion: Application of PPV checklist in patients with ARDS requiring PPV can effectively reduce the incidence of complications associated with ventilation, promote PPV, prolong average duration on ventilation and increase the effect of ventilation in prone position. This study demonstrated that the PPV checklist we developed is beneficial in standardizing the operational procedures and ensuring consistency in implementation management.

Key words: ARDS; Prone Position Ventilation; implementation checklist