Pressures During Prone Positions in Healthy Volunteers

Study Overview
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Brief Summary
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Prone positioning (PP) reduces mortality in the most severe cases of acute respiratory distress syndrome (ARDS). Despite the benefits of PP, this technique presents adverse effects such as an increased risk of bedsores, linked to the duration, which must be around 16 consecutive hours. There are 2 PP techniques: Positioning with arms alongside the body Swimmer's position At present, no study compares or has compared prospectively, the impact of the type of position used during ventral decubitus on mortality and the incidence of pressure sores, nor on secondary effects in intensive care. Pressure transducers are available for instantaneous measurement of pressures between 2 interfaces. The investigators have acquired a pressure-measuring device, a mattress topper which is attached to the resuscitation mattress and which, connected to a PC, provides a live display of the pressures between the patient and the mattress. The investigators would like to use their device to measure pressures during these 2 PP in healthy volunteers, which would enable them to obtain the world's first data on the real pressures generated during PP.

Official Title
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Measurement of Pressures Generated During Different Prone Positions in Healthy Volunteers

Conditions
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Pressure Ulcer

Intervention / Treatment
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* Other: Prone Position


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female Major volunteer Exclusion Criteria: Volunteers with cervical mobility problems preventing them from rotating their head 90° Volunteers with scapulohumeral joint mobility problems preventing them from performing 90° elevation/abduction. Pregnant volunteer (confirmed by a blood sample test or a positive pregnancy test). Volunteer not affiliated to a French social security system Volunteer protected by law

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Swimmer Position<br> | Other: Prone Position<br>* All healthy volunteers will be positioned in prone position, on a bed equipped with a mapping pressure system. The volunteers will spend 5 minutes in each of the positions corresponding to the study groups.<br>|
| Active Comparator: Arms at side<br> | Other: Prone Position<br>* All healthy volunteers will be positioned in prone position, on a bed equipped with a mapping pressure system. The volunteers will spend 5 minutes in each of the positions corresponding to the study groups.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Skin/Bed pressures | Obtain pressure values for both prone position techniques on pressure sore risk zones (face/shoulders/hips/knees/feet) | 5 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Healthy Volunteer, Pressure Mapping, ARDS, Prone Position