Complications related to proning
We have not experienced any complications related to proning. However, a wide range of complications has been described: airway obstruction, endotracheal tube dislodgment, arrhythmias, loss of venous access, facial and airway edema. It is debatable whether complications with prone positioning are related to lack of familiarity with the procedure rather than proning per se(25). Familiarizing with the procedure and paying particular attention to the endotracheal tube, vascular access, and adequate positioning would result in optimal outcomes. The team should be ready to initiate or escalate vasopressor requirements should hypotension occur, as this can lead to non-reassuring fetal status.