Reducing staff time needed to turn proned ICU patients using the BathMat
A Trial of the Difference in Staff Time Involved in Repositioning Proned Patients in the ICU Using the 'BathMat' Compared With Standard Care
This trial will test whether the BathMat device helps ICU staff spend less time and safely reposition sedated, ventilated adult patients who are placed face-down (proned).
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Royal United Hospitals Bath NHS Foundation Trust Academic / other |
| Locations | 1 site (Bristol) |
| Trial ID | NCT06844617 on ClinicalTrials.gov |
What this trial studies
Proning places sedated, ventilated patients on their front for many hours to improve oxygenation, but it requires regular head and arm repositioning to prevent pressure injuries and nerve damage. This interventional study introduces the BathMat, a device designed to simplify sliding and support during repositioning with the aim of reducing the number of staff required and the time taken. The trial enrolls adults in participating UK intensive care units who are sedated, mechanically ventilated and identified by a senior clinician as needing proning, and excludes patients who are awake, pregnant, under guardianship, outside the device size limits, or with broken skin on the chest/abdomen. Researchers will measure staff time and safety outcomes, including pressure injuries and device-related adverse events, when repositioning with the BathMat versus usual manual methods.
Who should consider this trial
Good fit: Ideal candidates are sedated, mechanically ventilated adults in participating ICUs who are judged by a senior clinician to require proning and who meet the device's height and weight limits.
Not a fit: Patients unlikely to receive benefit include those who are awake, pregnant, under guardianship, already repositioned multiple times in the current admission, outside the device size limits, or with broken skin on the anterior chest or abdominal wall.
Why it matters
Potential benefit: If successful, the BathMat could cut staff workload and time for proning maneuvers and reduce the risk of patient and staff injuries in the ICU.
How similar studies have performed: Proning is a well-established, mortality-reducing intervention, but devices specifically intended to reduce staff time for repositioning like the BathMat are novel and have limited prior data.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Any sedated, ventilated patient over 18 years of age identified as requiring proning by a senior ICU clinician. Exclusion Criteria: Patients who are: * Awake * Pregnant * Under guardianship * In their first proning session in the current ICU admission who have already been repositioned 2 or more times using standard care prior to recruitment to the study. * Over 200 kg * Under 150cm and over 205cm * Patients who have already been proned using conventional methods in the current ICU admission * Patients who have broken skin on the anterior chest or abdominal wall
Where this trial is running
Bristol
- North Bristol Trust — Bristol, United Kingdom (Recruiting)
Study contacts
- Study coordinator: Jerome Condry, MBBS
- Email: jerome.condry@nhs.net
- Phone: 01225 428331
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.