The prone position eliminates compression of the lungs by the heart

American Journal of Respiratory and Critical Care Medicine

Volumn 161, Issue 5, 2000, Pages 1660-1665

  Albert, Richard K ^a,b   Hubmayr, Rolf D ^a,b  

^a DENVER HEALTH MEDICAL CENTER   (United States)

^b MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BODY POSTURE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; GAS EXCHANGE; HEART; HUMAN; LUNG VENTILATION DISTRIBUTION; LUNG VOLUME; MALE; PRIORITY JOURNAL; RESPIRATORY DISTRESS SYNDROME; SUPINE POSITION;

EID: 0034027855     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.161.5.9901037     Document Type: Article

References (38)

1. 1. Bryan, A. C. 1994. Comments of a devil's advocate. Am. Rev. Respir. Dis. 110(Suppl.):143-144.
2. 2. Phiel, M. A., and R.S. Brown. 1976. Use of extreme position changes in acute respiratory failure. Crit. Care Med. 4:13-14.
3. 3. Douglas, W. W., K. Rheder, M.B. Froukje, A. D. Sessler, and H. M. Marsh. 1977. Improved oxygenation in patients with acute respiratory failure: the prone position. Am. Rev. Respir. Dis. 115:559-566.
4. 4. Langer, M., D. Mascheroni, R. Marcolin, and L. Gattinoni. 1988. The prone position in ARDS patients: a clinical study. Chest 94:103-107.
5. 5. Fridrich, P., P. Krafft, H. Hochleuthner, and W. Mauritz. 1996. The effects of long-term prone positioning in patients with trauma-induced adult respiratory distress syndrome. Anesth. Analg. 83:1206-1211.
6. 6. Chatte, G., J. M. Sab, J. M. Dubois, M. Sirodot, P. Gaussorgues, and D. Robert. 1997. Prone position in mechanically ventilated patients with severe acute respiratory failure. Am. J. Respir. Crit. Care Med. 155:473-478.
7. 7. Mure, M., C. R. Martling, and S. G. Lindahl. 1997. Dramatic effect on oxygenation in patients with severe acute lung insufficiency treated in the prone position. Crit. Care Med. 25:1539-1544.
8. 8. Stocker, R.,T. Neff, S. Stein, E. Ecknauer, O. Trentz, and E. Russi. 1997. Prone postioning and low-volume pressure-limited ventilation improve survival in patients with severe ARDS. Chest 111:1008-1017.
9. 9. Glenny, R. W., W. J. Lamm, R. K. Albert, and H. T. Robertson. 1991. Gravity is a minor determinant of pulmonary blood flow distribution. J. Appl. Physiol. 71:620-629.
10. 10. Lamm, W. J. E., M. M. Graham, and R. K. Albert. 1994. Mechanism by which the prone position improves oxygenation in acute lung injury. Am. J. Respir. Crit. Care Med. 150:184-193.
11. 11. Gattinoni, L., L. D'Andrea, P. Pelosi, G. Vitale, A. Pesenti, and R. Fumagalli. 1993. Regional effects and mechanism of positive end-expiratory pressure in early adult respiratory distress syndrome. J.A.M.A. 269:2122-2127.
12. 12. Pelosi, P., L. D'Andrea, G. Vitale, A. Pesenti, and L. Gattinoni. 1994. Vertical gradient of regional lung inflation in adult respiratory distress syndrome. Am. J. Respir. Crit. Care Med. 149:8-13.
13. 13. Mutoh, T., W. J. E. Lamm, L. J. Embree, J. Hildebrandt, and R. K. Albert. 1991. Abdominal distension alters regional pleural pressures and chest-wall mechanics in pigs in vivo. J. Appl. Physiol. 70:2611-2618.
14. 14. Froese, A. B., and A. C. Bryan. 1974. Effects of anesthesia and paralysis on diaphragmatic mechanics in man. Anesthesiology 41:242-255.
15. 15. Brookhart, J. M., and T. E. Boyd. 1947. Local differences in intrathoracic pressure and their relation to cardiac filling pressure in the dog. Am. J. Physiol. 148:434-444.
16. 16. Rutishauser, W. J., N. Banchero, A. G. Tsakiris, A. C. Edmundowicz, and E. H. Wood. 1966. Pleural pressures at dorsal and ventral sites in supine and prone body positions. J. Appl. Physiol. 21:1500-1510.
17. 17. Banchero, N., P. E. Schwartz, A. G. Tsakiris, and E. H. Wood. 1967. Pleural and esophageal pressures in the upright body position. J. Appl. Physiol. 23:228-234.
18. 18. Wood, E. H. 1967. Some effects of gravitational and inertial forces on the cardiopulmonary system. Aerospace Med. 38:225-233.
19. 19. McMahon, S. M., D. F. Proctor, and S. Permutt. 1969. Pleural surface pressure in dogs. J. Appl. Physiol. 27:881-885.
20. 20. Hyatt, R. E., E. Bar-Yishay, and M. D. Abel. 1985. Influence of the heart on the vertical gradient of transpulmonary pressure in dogs. J. Appl. Physiol. 58:52-57.
21. 21. Bar-Yishay, E., R. E. Hyatt, and J. E. Rodarte. 1986. Effect of heart weight on distribution of lung surface pressures in vertical dogs. J. Appl. Physiol. 61:712-718.
22. 22. Liu, S., S. S. Margulies, and T. A. Wilson. 1990. Deformation of the dog lung in the chest wall. J. Appl. Physiol. 68:1979-1987.
23. 23. Zeek, P. M. 1942. Heart weight: the weight of the normal human heart. Arch. Pathol. 34:820-832.
24. 24. Scharf, S. M., P. Caldini, and R. H. Ingram. 1977. Cardiovascular effects of increasing airway pressure in the dog. Am. J. Physiol. 232:H35-43.
25. 25. Culver, B. H., J. J. Marini, and J. Butler. 1981. Lung volume and pleural pressure effects on ventricular function. J. Appl. Physiol. 50:630-635.
26. 26. Marini, J. J., B. H. Culver, and J. Butler. 1981. Mechanical effect of lung distension with positive pressure on cardiac function. Am. Rev. Respir. Dis. 124:382-386.
27. 27. Butler, J. 1983. The heart is in good hands. Circ. Res. 67:1163-1168.
28. 28. Bosman, A. R., and G. de J. Lee. 1965. The effects of cardiac action upon lung gas volume. Clin. Sci. 28:311-324.
29. 29. Clarke, S. W., J. G. Jones, and D. H. Glaister. 1969. Change in pulmonary ventilation in different postures. Clin. Sci. 37:357-369.
30. 30. Cortese, D. A., J. R. Rodarte, K. Rehder, and R. E. Hyatt. 1976. Effect of posture on the single-breath oxygen test in normal subjects. J. Appl. Physiol. 41:474-479.
31. 31. Wiener, C. M., W. J. McKenna, M. J. Myers, J. P. Lavender, and J. M. B. Hughes. 1990. Left lower lobe ventilation is reduced in patients with cardiomegaly in the supine but not in the prone position. Am. Rev. Respir. Dis. 141:150-155.
32. 32. Ball, W. C., J. D. Wicks, and F. A. Mettler, Jr. 1980. Prone-supine change in organ position: CT demonstration. A.J.R. 135:815-820.
33. 33. Hoffman, E. A. 1985. Effect of body orientation on regional lung expansion: a computed tomographic approach. J. Appl. Physiol. 59:468-180.
34. 34. Margulies, S. S., and J. R. Rodarte. 1990. Shape of the chest wall in the prone and supine anesthetized dog. J. Appl. Physiol. 68:1970-1978.
35. 35. Rouch, G. S., and S. J. Lai-Fook. 1995. A finite element analysis of the effects of the abdomen on regional lung expansion. Respir. Physiol. 99:341-353.
36. 36. Milic-Emili, J., J. Mead, and J. Turner. 1964. Topograph of esophageal pressure as a function of posture in man. J. Appl. Physiol. 19:212-216.
37. 37. Lai-Fook, S. J., and J. R. Rodarte. 1991. Pleural pressure distribution and its relationship to lung volume and interstitial pressure. J. Appl. Physiol. 70:967-978.
38. 38. Beck, K. C. 1990. Influence of vascular distending pressure on regional flows in isolated perfused dog lungs. J. Appl. Physiol. 69:1869-1874.