Short-term effects of prone position in critically ill patients with acute respiratory distress syndrome

Intensive Care Medicine

Volumn 23, Issue 10, 1997, Pages 1033-1039

  Blanch, L ^a   Mancebo, J ^b   Perez, M ^b   Martinez, M ^a   Mas, A ^a   Betbese, A J ^b   Joseph, D ^a   Ballus J ^b   Lucangelo, U ^a   Bak, E ^b  

^a HOSPITAL DE SABADELL   (Spain)

^b HOSPITAL DE LA SANTA CREU I SANT PAU   (Spain)

Author keywords

Acute respiratory distress syndrome; Gas exchange; Prone position; Respiratory system mechanics

Indexed keywords

CARBON DIOXIDE; OXYGEN;

ADULT; AGED; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN TENSION; ARTICLE; BODY POSTURE; CLINICAL ARTICLE; CRITICAL ILLNESS; HUMAN; HYPERCAPNIA; HYPOXEMIA; LUNG ARTERIOVENOUS SHUNT; LUNG COMPLIANCE; LUNG GAS EXCHANGE; LUNG HEMODYNAMICS; POSITIVE END EXPIRATORY PRESSURE; PROSPECTIVE STUDY; RESPIRATORY DISTRESS; SUPINE POSITION;

ADULT; AGED; CRITICAL ILLNESS; HEMODYNAMIC PROCESSES; HUMANS; MIDDLE AGED; PRONE POSITION; PROSPECTIVE STUDIES; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY MECHANICS; TREATMENT OUTCOME;

EID: 9844232627     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001340050453     Document Type: Article

References (35)

1. Suter PM, Fairley HB, Isenberg MD (1975) Optimum end-expiratory airway pressure in patients with acute respiratory failure. N Engl J Med 292: 84-289
2. Stoller JK (1988) Respiratory effects of positive end-expiratory pressure. Respir Care 33: 454-463
3. Craig KC, Pierson DJ, Carrico CJ (1985) The clinical application of positive end-expiratory pressure (PEEP) in the adult respiratory distress syndrome (ARDS). Respir Care 30: 184-201
4. Albert RK (1994) One good turn. Intensive Care Med 20: 247-248
5. Marini JJ (1995) Down side up - a prone and partial liquid asset. Intensive Care Med 21: 963-965
6. Piehl MA, Brown RS (1976) Use of extreme position changes in acute respiratory failure. Crit Care Med 4: 13-14
7. Douglas WW, Rehder K, Beynen FM, Sessler AD, Marsh HM (1977) Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis 115: 559-566
8. Langer M, Mascheroni D, Marcolin R, Gattinoni L (1988) The prone position in ARDS patients. Chest 94: 103-107
9. Pappert D, Rossaint R, Slama K, Grüning T, Falke KJ (1994) Influence of positioning on ventilation-perfusion relationships in severe adult respiratory distress syndrome. Chest 106: 1511-1516
10. Priolet B, Tempelhoff JM, Cannamela A, Carton MJ, De La Condamine S, Ducreux JC, Driencourt JB (1993) Ventilation assistée en décubitus ventral: évaluation tomodensitométrique de son efficacité dans le traitment des condensations pulmonaires. Réan Urg 2: 81-85
11. Gattinoni L, Pelosi P, Vitale G, Pesenti A, D'Andrea L, Mascheroni D (1991) Body position changes redistribute lung computed-tomographic density in patients with acute respiratory failure. Anesthesiology 74: 15-23
12. Chatte G, Sab JM, Dubois JM, Sirodot M, Gaussorgues P, Robert D (1997) Prone position in mechanically ventilated patients with severe acute respiratory failure. Am J Respir Crit Care Med 155: 473-478
13. Stocker R, Neff T, Stein S, Ecknauer E, Trentz O, Russi E (1997) Prone positioning and low-volume pressure limited ventilation improve survival in patients with severe ARDS. Chest 111: 1008-1017
14. Murray JF, Matthay MA, Luce JM, Flick MR (1988) An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 138: 720-723
15. Lemaire F, Blanch L, Cohem SL, Sprung C, Working Group on Ethics (1997) Informed consent for research purposes in intensive care patients in Europe -part I. Intensive Care Med 23: 338-341
16. Milic-Emili J, Ploysongsang Y (1986) Respiratory mechanics in the adult respiratory distress syndrome. Crit Care Clin 2: 573-584
17. Fernandez R, Blanch L, Artigas A (1993) Inflation static pressure-volume curves of the total respiratory system determined without any instrumentation other than the mechanical ventilator. Intensive Care Med 19: 33-38
18. Rossi A, Gottfried SB, Zocchi L, Higgs BD, Lennox S, Calverley PMA, Begin P, Grassino A, Milic-Emili J (1985) Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation. Am J Respir Crit Care Med 131: 672-677
19. Albert RK, Leasa D, Sanderson M, Robertson HT, Hlastala MP (1987) The prone position improves arterial oxygenation and reduces shunt in oleic-acid-induced acute lung injury. Am Rev Respir Dis 135: 628-633
20. Mutoh T, Guest RJ, Lamm WJE, Albert RK (1992) Prone position alters the effect of volume overload on regional pleural pressures and improves hypoxemia in pigs in vivo. Am Rev Respir Dis 146: 300-306
21. Wiener CM, Kirk W, Albert RK (1990) Prone position reverses gravitational distribution of perfusion in dog lungs with oleic acid-induced injury. J Appl Physiol 68: 1386-1392
22. Krayer S, Rehder K, Vettermann J, Didier EP, Ritman EL (1989) Position and motion of the human diaphragm during anesthesia-paralysis. Anesthesiology 70: 891-898
23. Pelosi P, Croci M, Calappi E, Cerisara M, Mulazzi D, Vicardi P, Gattinoni L (1995) The prone positioning during general anesthesia minimally affects respiratory mechanics while improving functional residual capacity and increasing oxygen tension. Anesth Analg 80: 955-960
24. Pelosi P, Croci M, Calappi E, Mulazzi D, Cerisara M, Vercesi P, Vicardi P, Gattinoni L (1996) Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg 83: 578-583
25. Vettermann J, Brusasco V, Rehder K (1988) Gas exchange and intrapulmonary distribution of ventilation during continuous-flow ventilation. J Appl Physiol 64: 1864-1869
26. Glenny RW, Lamm WJE, Albert RK, Robertson HT (1991) Gravity is a minor determinant of pulmonary blood flow distribution. J Appl Physiol 71: 620-629
27. Lamm WJE, Graham MM, Albert RK (1994) Mechanism by which the prone position improves oxygenation in acute lung injury. Am J Respir Crit Care Med 150: 184-193
28. Lamy M, Fallat RJ, Koeniger E, Dietrich HP, Ratliff JL, Eberhart RC, Tucker HJ, Hill JD (1976) Pathologic features and mechanisms of hypoxemia in adult respiratory distress syndrome. Am Rev Respir Dis 114: 267-284
29. Gattinoni L, Bombino M, Pelosi P, Lissoni A, Pesenti A, Fumigalli R, Tagliabue M (1994) Lung structure and function in different stages of severe adult respiratory distress syndrome. JAMA 271: 1772-1779
30. Gattinoni L, Pelosi P, Valenza F, Mascheroni D (1994) Patient positioning in acute respiratory failure. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 1067-1076
31. Dreyfuss D, Saumon D (1993) Role of tidal volume. FRC. and end-inspiratory volume in the development of pulmonary edema following mechanical ventilation. Am Rev Respir Dis 148: 1194-1203
32. Parker JC, Hernandez LA, Longenecker GL, Peevy K, Johnson W (1990) Lung edema caused by high peak inspiratory pressures in dogs. Role of increased microvascular filtration pressure and permeability. Am Rev Respir Dis 142: 321-328
33. Fu Z, Costello ML, Tsukimoto K, Prediletto R, Elliott AR, Mathieu-Costello O, West JB (1992) High lung volume increases stress failure in pulmonary capillaries. J Appl Physiol 73: 123-133
34. Broccard AF, Shapiro RS, Schmitz LL, Ravenscraft SA, Marini JJ (1997) Influence of prone position on the extent and distribution of lung injury in a high tidal volume oleic acid model of acute respiratory distress syndrome. Crit Care Med 25: 16-27
35. Vollman KM, Bander JJ (1996) Improved oxygenation utilizing a prone positioner in patients with acute respiratory distress syndrome. Intensive Care Med 22: 1105-1111