For other indirect outcomes, we only found low or very low quality evidence. the lateral position, which was measured by the apnea/hypopnea index (AHI). In studies reporting only indirect outcome measures, we found moderate evidence of reduced airway patency in the supine vs. supine position) in trauma patients or in any other patient group. We did not identify any studies reporting direct outcome measures (mortality or morbidity) related to airway compromise caused by the patient position (lateral vs. Sixteen of these publications were included in meta-analysis. We identified 1,306 publications, 39 of which were included for further analysis. We graded the quality of evidence with the GRADE methodology. ![]() We conducted meta-analyses, where appropriate. We performed literature searches in PubMed, Medline, EMBASE, Cochrane Library, CINAHL and British Nursing Index and included studies related to airway patency, reduced level of consciousness and patient position. The review protocol was published in the PROSPERO database (Reg. We conducted a systematic review to investigate whether the supine position is associated with loss of airway patency compared to the lateral position. ![]() Therefore, various lateral positions are advocated for unconscious patients, but their use remains controversial in trauma patients. ![]() Although endotracheal intubation is regarded as the gold standard treatment, most prehospital providers are not trained to perform ETI in such patients. Airway compromise is a leading cause of death in unconscious trauma patients.
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