Prone positioning of pediatric patients with ARDS results in improvement in oxygenation if maintained > 12 h daily

Chest

Volumn 124, Issue 1, 2003, Pages 269-274

  Relvas, Monica S ^a   Silver, Peter C ^a   Sagy, Mayer ^a  

^a SCHNEIDER CHILDREN'S HOSPITAL   (United States)

Author keywords

ARDS; Mechanical ventilation; Oxygenation index; Pediatric; Prone positioning

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE; ARTERIAL GAS; ARTIFICIAL VENTILATION; BLOOD GAS ANALYSIS; BODY POSITION; BODY POSTURE; BREATHING; ENDOTRACHEAL INTUBATION; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE; MUSCLE RELAXATION; OXYGENATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; REVIEW; SEDATION;

EID: 0038498338     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.124.1.269     Document Type: Article

References (24)

1. Pelosi P, Tubiolo D, Mascheroni D, et al. Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med 1998; 157:387-393
2. Vollman KM, Bander JJ. Improved oxygenation utilizing a prone position in patients with acute respiratory distress syndrome. Intensive Care Med 1996; 22:1105-1111
3. Pappert D, Rossaint R, Slama K, et al. Influence of positioning on ventilation-perfusion relationships in severe adult respiratory distress syndrome. Chest 1994; 106:1511-1516
4. Chatte G, Sab JM, Dubois JM, et al. Prone position in mechanically ventilated patients with severe acute respiratory failure. Am J Respir Crit Care Med 1997; 155:472-478
5. Blanch L, Mancebo J, Perez M, et al. Short term effects of prone position in critically ill patients with acute respiratory distress syndrome. Intensive Care Med 1997; 23:1033-1039
6. Ullrich R, Lorber C, Roder G, et al. Controlled airway pressure therapy, nitric oxide inhalation, prone position, and extracorporeal membrane oxygenation (ECMO) as components of an integrated approach to ARDS. Anesthesiology 1999; 19:1577-1586
7. Kornecki A, Frndova H, Coates AL, et al. A randomized trial of prolonged prone positioning in children with acute respiratory failure. Chest 2001; 119:211-218
8. Murdoch IA, Storman MO. Improved arterial oxygenation in children with the adult respiratory distress syndrome: the prone position. Acta Paediatr 1994; 83:1043-1046
9. Langer M, Mascheroni D, Marcolin R, et al. The prone position in ARDS patients: a clinical study. Chest 1988; 94:103-107
10. Voggenreiter G, Neudeck R, Aufmkolk M, et al. Intermittent prone positioning in the treatment of severe and moderate posttraumatic lung injury. Crit Care Med 1999; 27:2375-2382
11. Fridrich P, Kraft P, Hochleuthner H, et al. The effects of long-term prone positioning in patients with trauma-induced adult respiratory distress syndrome. Anesth Analg 1996; 83:1206-1211
12. Curley MAQ, Thompson JE, Arnold JH. The effects of early and repeated prone positioning in pediatric patients with acute lung injury. Crit Care Med 2000; 118:156-163
13. Hormann C. Benzer H, Baum M, et al. The prone position in ABDS: a successful therapeutic strategy. Anaesthetist 1994; 43:454-462
14. Stocker B, Neff T, Stein S, et al. Prone positioning and low-volume pressure-limited ventilation improve survival in patients with severe ABDS. Chest 1997; 111:1008-1017
15. Jollier P, Bulpa P, Chevrolet JC. Effects of the prone position on gas exchange and hemodynamics in severe acute respiratory distress syndrome. Crit Care Med 1998; 26:1977-1985
16. Gattinoni L, Tognoni G, Pesenti A, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med 2001; 345:569-573
17. Albert RK, Leasa D, Sanderson M, et al. The prone position improves oxygenation and reduces shunt in oleic acid-induced acute lung injury. Am Rev Respir Dis 1987; 135:628-633
18. Mutoh T, Guest RJ, Lamm WJE, et al. Prone position alters the effect of volume overload on regional pleural pressures and improves hypoxemia in pigs in vivo. Am Rev Respir Dis 1992; 146:300-306
19. Cortese DA, Rodarte JR, Rehder K, et al. Effect of posture on the single-breath oxygen test in normal subjects. J Appl Physiol 1976; 41:474-479
20. Douglas WW, Rehder K, Froukje MB, et al. Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis 1977; 115:559-566
21. Piehl MA, Brown RS, Use of extreme position changes in acute respiratory failure. Crit Care Med 1976; 4:13-14
22. Lamm WJ, Graham MM, Albert RK. Mechanism by which the prone position improves oxygenation in acute lung injury. Am J Respir Crit Care Med 1994; 150:184-193
23. Nakos G, Tsangaris I, Kostanti E, et al. Effect of the prone position on patients with hydrostatic pulmonary edema compared with patients with acute respiratory distress syndrome and pulmonary fibrosis. Am J Respir Crit Care Med 2000; 161:360-368
24. Marik PE, Iglesias J. A "prone dependent" patient with severe adult respiratory distress syndrome. Crit Care Med 1997; 25:1085-1087