The increasing rate of Acute Respiratory Distress Syndrome (ARDS) reinforces the need for additional resources to assist clinical staff with an individual's care and recovery. Pronation therapy involves physically rotating an individual from the posterior position to the prone position. Pronation therapy has successfully been used for individuals diagnosed with ARDS in Intensive Care Units for decades. However, manual pronation maneuvers by staff members poses risks for those who are critically ill and risk of physical injury to caregivers. Mechanical pronation beds have revolutionized the art of pronation therapy, minimizing risks, and decreasing possibility of kinking or pulling out life supporting lines. The methodology for this thesis included searching electronic database of research and clinical peer reviewed journals. Search terms included the keywords: Rotopron* OR "Rotoprone therapy" OR "rotation* bed" AND ARDS or "acute respiratory distress syndrome" OR "acute respiratory failure". Inclusion criteria included articles published in English between 2005– present. A table of evidence was being developed to summarize key points from each reviewed article. The articles were individually critiqued. Synthesis of the findings were discussed to identify consistent and inconsistent findings, along with gaps in the literature. Preliminary literature analysis suggests research is needed regarding standardization of mechanical pronation procedures along with staff education

Thesis Completion




Thesis Chair

Bushy, Angeline


D'Amato-Kubiet, Leslee


Bachelor of Science in Nursing (B.S.N.)


College of Nursing



Access Status

Open Access

Release Date


Restricted to the UCF community until 5-1-2021; it will then be open access.