Hemodynamic effects of extended prone position sessions in ARDS

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Prone Position Effects in the Treatment of Covid-19 Patients

Prone positioning is a conventional method to enhance oxygenation in Acute Respiratory Distress Syndrome (ARDS) patients who need mechanical ventilator . It is proven that oxygenation is significantly more beneficial in prone position compared to the supine position. Furthermore, numerous evidences have confirmed that prone positioning could prevent lung injuries caused by ventilators

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A Comprehensive Review of Prone Position in ARDS.

Prone position (PP) has been used since the 1970s to treat severe hypoxemia in patients with ARDS because of its effectiveness at improving gas exchange. Compared with the supine position (SP), placing patients in PP effects a more even tidal volume distribution, in part, by reversing the vertical pleural pressure gradient, which becomes more negative in the dorsal regions. PP also improves res...

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The prone position in ARDS patients. A clinical study.

The gas exchange and hemodynamics were evaluated before, during, and after a two-hour period of prone position in 13 moderate-severe ARDS patients. Lung computerized tomography was obtained in both the supine and prone positions in two of these patients. Average arterial oxygenation improved after prone positioning (p less than 0.01). A PaO2 improvement of at least 10 mm Hg after 30 minutes of ...

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Feasibility, safety, and utility of bronchoscopy in patients with ARDS while in the prone position

Prone positioning (PP) was shown to reduce mortality in mechanically ventilated (MV) patients with severe ARDS [1]. Despite its common use, safety concerns inhibit use of flexible bronchoscopy (FB) in patients with ARDS, and there are few reports of FB performed in PP [2]. We reviewed all adults receiving FB in PP in one institution between April 2016 and September 2017. The study was approved ...

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PEEP titration: the effect of prone position and abdominal pressure in an ARDS model

BACKGROUND Prone position and PEEP can both improve oxygenation and other parameters, but their interaction has not been fully described. Limited data directly compare selection of mechanically "optimal" or "best" PEEP in both supine and prone positions, either with or without changes in chest wall compliance. To compare best PEEP in these varied conditions, we used an experimental ARDS model t...

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ژورنال

عنوان ژورنال: Annals of Intensive Care

سال: 2018

ISSN: 2110-5820

DOI: 10.1186/s13613-018-0464-9