Prone positioning unloads the right ventricle in severe ARDS

Chest

Volumn 132, Issue 5, 2007, Pages 1440-1446

  Vieillard Baron, Antoine ^a   Charron, Cyril ^a   Caille, Vincent ^a   Belliard, Guillaume ^a   Page, Bernard ^a   Jardin, François ^a  

^a HÔPITAL AMBROISE PARÉ   (France)

Author keywords

Acute cor pulmonale; ARDS; Echocardiography; Prone position; Right ventricle

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE; ARTICLE; BODY POSTURE; CLINICAL ARTICLE; CONTROLLED STUDY; DYSKINESIA; HEART RIGHT VENTRICLE; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HUMAN; HYPERCAPNIA; LUNG VENTILATION; OXYGENATION; PRIORITY JOURNAL; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 36348945679     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.07-1013     Document Type: Article

References (31)

1. Dantzker D, Brook C, Dehart P, et al. Ventilation-perfusion distribution in the adult respiratory distress syndrome. Am Rev Respir Dis 1979; 120:1039-1052
2. Gattinoni L, Caironi P, Pelosi P, et al. What as computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med 2001; 164:1701-1711
3. Douglas W, Rehder K, Beynen R, et al. Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis 1977; 115:559-566
4. Zapol W, Snider M. Pulmonary hypertension in severe acute respiratory failure. N Engl J Med 1977; 296:476-480
5. Jardin F, Gueret P, Dubourg O, et al. Two-dimensional zechocardiographic evaluation of right ventricular size and contractility in acute respiratory failure. Crit Care Med 1985; 13:952-956
6. Vieillard-Baron A, Prin S, Chergui K, et al. Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med 2002; 166:1310-1319
7. Page B, Vieillard-Baron A, Beauchet A, et al. Low stretch ventilation strategy in acute respiratory distress syndrome: eight years of clinical experience in a single center. Crit Care Med 2003; 31:765-769
8. Suter P, Fairley H, Isenberg M. Optimum end-expiratory airway pressure in patients with acute lung disease. N Engl J Med 1975; 292:284-289
9. Chatte G, Sab J, Dubois J, et al. Prone position in mechanically ventilated patients with severe acute respiratory failure. Am J Respir Crit Care Med 1997; 155:473-478
10. Prin S, Chergui K, Augarde R, et al. Ability and safety of a heated humidifier to control hypercapnic acidosis in severe ARDS. Intensive Care Med 2002; 28:1756-1760
11. Julien T, Valtier B, Hongnat JM, et al. Influence of tricuspid regurgitation and vena caval backward flow in mechanically ventilated patients: a color Doppler and contrast echocardiographic study. Chest 1995; 107:488-493
12. Ryan T, Petrovic O, Dillon J, et al. An echocardiographic index for separation of right ventricular volume and pressure overload. J Am Coll Cardiol 1985; 5:918-924
13. Jardin F, Dubourg O, Bourdarias JP. Echocardiographic pattern of acute corpulinonale. Chest 1997; 111:209-217
14. Vieillard-Baron A, Prin S, Chergui K, et al. Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am Rev Respir Crit Care Med 2003; 168:1270-1276
15. Jardin F, Genevray B, Brun-Ney D, et al. Influence of lung and chest wall compliances on transmission of airway pressure to pleural space in critically ill patients. Chest 1985; 88:653-658
16. Whittenberger J, McGregor M, Berglund E, et al. Influence of state of inflation of the lung on pulmonary vascular resistance. J Appl Physiol 1960; 15:878-882
17. Jardin F, Gurdjian F, Fouilladieu JL, et al. Pulmonary and systemic hemodynamic disorders in adult respiratory distress syndrome. Intensive Care Med 1979; 5:127-133
18. Laver B, Strauss W, Pohost G. Right and left ventricular geometry: adjustments during acute respiratory failure. Crit Care Med 1979; 7:509-519
19. Vieillard-Baron A, Schmitt JM, Beauchet A, et al. Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation: incidence, clinical implications and prognosis. Crit Care Med 2001; 29:1551-1555
20. Scherrer-Crosbie M, Streckenbach S, Zapol W. Acute cor pulmonale in acute respiratory distress syndrome: a dreaded complication of the past? Crit Care Med 2001; 29:1641-1642
21. Terragni P, Rosbosh G, Tealdi A, et al. Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med 2007; 175:160-166
22. Hickling K, Henderson S, Jackson R. Low mortality associated with low volume/pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 1990; 16:372-377
23. Viitanen A, Salmenrerä M, Heinonen J. Right ventricular response to hypercarbia after cardiac surgery. Anesthesiology 1990; 73:393-400
24. Balanos G, Talbot N, Dorrington K, et al. Human pulmonary vascular response to 4 h of hypercapnia and hypocapnia measured during Doppler echocardiography. J Appl Physiol 2003; 94:1543-1551
25. Jardin F, Vieillard-Baron A. Is there a safe plateau pressure in ARDS? The right heart only knows. Intensive Care Med 2007; 33:444-447
26. Servillo G, Roupie E, De Robertis E. Effects of ventilation in ventral decubitus on respiratory mechanics in adult respiratory distress syndrome. Intensive Care Med 1997; 23:1219-1224
27. 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
28. Vieillard-Baron A, Rabiller A, Chergui K, et al. Prone position improves mechanics and alveolar ventilation in acute respiratory distress syndrome. Intensive Care Med 2005; 31:220-226
29. Metzelopoulos S, Roussos D, Zakynthinos S. Prone position reduces lung stress and strain in severe acute respiratory distress syndrome. Eur Respir J 2005; 25:537-544
30. Gallatsou E, Kostanti E, Svarna E, et al. Prone position augments recruitment and prevents alveolar overinflation in acute lung injury. Am J Respir Crit Care Med 2006; 174:187-197
31. Albert R, Hubmayr R. The prone position eliminates compression of the lungs by the heart. Am J Respir Crit Care Med 2000; 161:1660-1665