The 4-Piece Original bodyCushion Optimizes Ventilation Treatments for COVID-19 ARDS Patients

Posted by Tom Owens on 18th Mar 2020

The current treatment

The current treatment for ARDS (acute respiratory distress syndrome) is to provide mechanical respiration with a ventilator while the patient is prone for sixteen to eighteen hours per day. (In prone, the weight of the heart is not bearing on the lungs, and the abdominal organs are not imposing on the aorta. Also, patient hemodynamics are improved; blood pressure and heart rate are lowered, and oxygenation of blood increases).

Problems with current treatment

The current practice of ventilating ARDS patients prone on a standard hospital bed can result in several well-documented issues and negative consequences. The dislocation and kinking of tubes, hoses, and catheters, decubitus ulcers (bed sores), general patient discomfort, and post-treatment recovery from positioning induced injury.

The solution

In prone on the 4-Piece Original bodyCushion, patient biomechanics and comfort are optimized by the torso being supported principally on its bony prominences, (much like lifting an automobile on its frame), thereby reducing pressure to the breasts, abdomen, and bladder, otherwise imposed upon when lying flat. The torso is elevated, allowing a recessed space for the abdominal organs and bladder while also decompressing the spine.

Decubitus ulcers are easily avoided by the periodic minor repositioning of the patient. With the body elevated, the neck slightly flexed, and the head turned comfortably to the side, intubation is aided without kinking or dislocation of tubes. As is usual protocol, the patient’s head is rotated alternately from time to time, side-to-side.

The design of the face support allows extended periods of support on alternate sides of the face, avoiding pressure sores. The patient’s elevated body is unloaded, extremities supported with joints flexed, and musculature relaxed, eliminating vessel impingements at joint structures, further improving blood flow.

Extremities are readily mobilized and placed in a variety of positions. All of these positioning improvements better optimize prone ventilation for ARDS, resulting in improved outcomes.

100% washable elastic fitted cotton covers can be used to cover the bodyCushion for each patient.


A hospital in Sweden reports using the 4-Piece Original bodyCushion for several years for prone ventilation of ARDS patients in their intensive care unit. These periods of prone ventilation can last for 16 (sixteen) hours or more.

The Swedish hospital ICU physicians report that in all the time they have used the 4-Piece Original bodyCushion for prone ventilation, they have had no complications or problems with kinking or dislocation of tubes, the formation of decubitus ulcers, or post-treatment recovery from positioning induced injury.

Assumptively, due to treatment improvements the bodyCushion affords, ARDS patient outcomes are markedly improved when using the 4-Piece Original bodyCushion.

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