Positioning of patients with acute respiratory distress syndrome: combining prone and upright makes sense

Positional strategies have been proposed for mechanically ventilated patients with acute respiratory distress syndrome. Despite different physiological mechanisms involved, oxygenation improvement has been demonstrated with both prone and upright positions. In the previous issue of Critical Care, Ro...

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Published inCritical care (London, England) Vol. 15; no. 6; p. 1019
Main Authors Richard, Jean-Christophe M, Lefebvre, Jean-Claude
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 01.01.2011
BioMed Central
Subjects
Acute Lung Injury - therapy
Female
Humans
Male
Oxygen - blood
Patient Positioning - methods
Prone Position - physiology
Respiratory Distress Syndrome, Adult - therapy
Respiratory Mechanics - physiology
Supine Position - physiology
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Abstract Positional strategies have been proposed for mechanically ventilated patients with acute respiratory distress syndrome. Despite different physiological mechanisms involved, oxygenation improvement has been demonstrated with both prone and upright positions. In the previous issue of Critical Care, Robak and colleagues reported the first study evaluating the short-term effects of combining prone and upright positioning. The combined positioning enhanced the response rate in terms of oxygenation. Other benefits, such as a reduction in ventilator-associated pneumonia and better enteral feeding tolerance, can potentially be expected.
AbstractList Positional strategies have been proposed for mechanically ventilated patients with acute respiratory distress syndrome. Despite different physiological mechanisms involved, oxygenation improvement has been demonstrated with both prone and upright positions. In the previous issue of Critical Care, Robak and colleagues reported the first study evaluating the short-term effects of combining prone and upright positioning. The combined positioning enhanced the response rate in terms of oxygenation. Other benefits, such as a reduction in ventilator-associated pneumonia and better enteral feeding tolerance, can potentially be expected.
Positional strategies have been proposed for mechanically ventilated patients with acute respiratory distress syndrome. Despite different physiological mechanisms involved, oxygenation improvement has been demonstrated with both prone and upright positions. In the previous issue of Critical Care , Robak and colleagues reported the first study evaluating the short-term effects of combining prone and upright positioning. The combined positioning enhanced the response rate in terms of oxygenation. Other benefits, such as a reduction in ventilator-associated pneumonia and better enteral feeding tolerance, can potentially be expected.
Author Lefebvre, Jean-Claude
Richard, Jean-Christophe M
AuthorAffiliation 1 Hôpitaux universitaires de Genève, Rue Gabrielle-Perret-Gentil 4, 1211, Geneva 14, Switzerland
2 Intensive Care Unit, Centre Hospitalier Universitaire de Québec, Québec, Canada
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StartPage 1019
SubjectTerms Acute Lung Injury - therapy
Female
Humans
Male
Oxygen - blood
Patient Positioning - methods
Prone Position - physiology
Respiratory Distress Syndrome, Adult - therapy
Respiratory Mechanics - physiology
Supine Position - physiology
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Title Positioning of patients with acute respiratory distress syndrome: combining prone and upright makes sense
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