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The review included randomized and quasi-randomized clinical trials of adult patients (16 years and older) who were classified or described as critically ill. Clinical adverse events included hypoxemia, hypotension, low oxygen delivery, and global indicators of impaired tissue oxygenation. The objective of this review was to examine the effects of lateral positioning compared with other body positions on morbidity, mortality, and clinical adverse events in critically ill adult patients. Because critically ill patients are often kept supine, the effects of lateral positioning in these patients are largely unknown. Routine lateral positioning may not be appropriate for all patients, however, particularly those susceptible to cardiopulmonary and circulatory dysfunction and respiratory and hemodynamic instability are common reasons for patient intolerance to lateral positioning. The benefits of lateral positioning include increased patient comfort prevention of pressure injury and reduced deep vein thrombosis, pulmonary emboli, atelectasis, and pneumonia. Routine lateral positioning has been proposed as one way to minimize or prevent complications from bed rest in critically ill patients while still maintaining adequate oxygen delivery and tissue oxygenation.
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What are the effects of lateral positioning on morbidity, mortality, and adverse events in critically ill adult patients? TYPE OF REVIEWĪ systematic review of 24 randomized and quasi-randomized controlled trials only two were included in a meta-analysis.
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