New study tests best way to position ARDS patients to avoid bedsores
NCT ID NCT05894291
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested two ways of positioning patients with severe lung injury (ARDS) who are on ventilators and placed face-down (prone) to help breathing. The goal was to see if a 'swimmer' position—where the head is turned and one arm is bent—causes fewer severe pressure sores than the standard arms-at-sides position. Over 300 ICU patients took part. The results could guide nurses and doctors on how to position patients to reduce painful bedsores.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- prone positioning technique
- What this could lead to
- If successful, this could show that a specific arm and head position during prone therapy reduces severe pressure sores in critically ill patients.
- What could go wrong
- This is a completed trial, but the intervention is a positioning technique, not a drug. Results may not apply to all ICU settings or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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334 people
The number who actually took part.
- Started
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Nov 2023
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Intubated patient on invasive mechanical ventilation with moderate to severe acute respiratory distress syndrome according to the BERLIN classification with a P/F ratio \< 150, requiring prone position. * Express consent of the patient or representative or in the absence of this, emergency inclusion procedure * Health insurance coverage Exclusion Criteria: * Patient with 2 (or more) Prone position sessions * Patient in whom one of the two positions could not be achieved: (Joint limitation; Neck size that would prevent head rotation; Orthopaedic spinal or segmental trauma; BMI greater than 45) * Presence of stage 2 or higher pressure ulcers on the anterior parts of the body at screening * Presence of extracorporeal membrane oxygenation (ECMO) * Patient already included in the study * Pregnant or breastfeeding woman * Patient under legal protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
UHT of Orléans
Orléans, France
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Other studies related to the condition(s) this trial covers.
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