Prone position in mechanically ventilated patients with reduced intracranial compliance

2008 ◽  
Vol 2008 ◽  
pp. 5 ◽  
Author(s):  
R.A. Balk
Keyword(s):  
Prone Position ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Intracranial Compliance ◽  
Ventilated Patients

scholarly journals Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS‐CoV‐2 pulmonary infection

2021 ◽  
Author(s):  
María Dolores Rodríguez‐Huerta ◽  
Ana Díez‐Fernández ◽  
María Jesús Rodríguez‐Alonso ◽  
María Robles‐González ◽  
María Martín‐Rodríguez ◽  
...  
Keyword(s):  
Adverse Events ◽  
Prone Position ◽  
Nursing Care ◽  
Pulmonary Infection ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Has the prone position any effect on mechanically ventilated patients with lung fibrosis?

2004 ◽  
Vol 21 (Supplement 32) ◽  
pp. 161-162
Author(s):  
M. Mantouvalou ◽  
I. Iatrelli ◽  
T. Georgakis ◽  
G. Kyriazopoulos ◽  
C. Nikolaidis ◽  
...  
Keyword(s):  
Prone Position ◽  
Lung Fibrosis ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Prone Position in Intubated, Mechanically Ventilated Patients with Coronavirus Disease-19.

2021 ◽  
Author(s):  
Thomas Langer ◽  
Matteo Brioni ◽  
Amedeo Guzzardella ◽  
Eleonora Carlesso ◽  
Luca Cabrini ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Prone Position ◽  
Severe Disease ◽  
Invasive Mechanical Ventilation ◽  
Limited Data ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
National Cohort ◽  
Ventilated Patients

Abstract Background: Limited data are available on the use of prone position in intubated, invasively ventilated patients with Coronavirus disease-19 (COVID-19). Aim of this study is to investigate the use and effect of prone position in this population during the first 2020 pandemic wave.Methods: Retrospective, multicentre, national cohort study conducted between February 24 and June 14, 2020 in 24 Italian Intensive Care Units (ICU) on adult patients needing invasive mechanical ventilation for respiratory failure caused by COVID-19.Clinical data were collected on the day of ICU admission. Information regarding the use of prone position were collected daily. Follow-up for patient outcomes was performed on July 15, 2020. The respiratory effects of the first prone position were studied in a subset of 78 patients. Patients were classified as Responders if the PaO2/FiO2 ratio increased ≥ 20 mmHg during prone position. Results: Of 1057 included patients, mild, moderate and severe ARDS was present in 15, 50 and 35% of patients, respectively and had a resulting mortality of 25, 33 and 41%. Prone position was applied in 61% of the patients. Patients placed prone had a more severe disease and died significantly more (45% vs 33%, p<0.001). Overall, prone position induced a significant increase in PaO2/FiO2 ratio, while no change in respiratory system compliance was observed. Seventy-eight % of patients were Responders to prone position. Non-Responders had a more severe respiratory failure and died more often in the ICU (65% vs. 38%, p=0.047).Conclusions: During the COVID-19 pandemic, prone position has been widely adopted to treat mechanically ventilated patients with respiratory failure. The majority of patients improved their oxygenation during prone position, most likely due to a better ventilation perfusion matching.Trial registration: clinicaltrials.gov number: NCT04388670

Transport of Mechanically Ventilated Patients in the Prone Position

2016 ◽  
Vol 20 (5) ◽  
pp. 643-647 ◽  
Author(s):  
J. D. DellaVolpe ◽  
J. Lovett ◽  
C. Martin‐Gill ◽  
F. X. Guyette
Keyword(s):  
Prone Position ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Early enteral nutrition in mechanically ventilated patients in the prone position

2004 ◽  
Vol 32 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Jean Reignier ◽  
Nathalie Thenoz-Jost ◽  
Maud Fiancette ◽  
Eric Legendre ◽  
Christine Lebert ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Prone Position ◽  
Early Enteral Nutrition ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Prone position in intubated, mechanically ventilated patients with COVID-19: a multi-centric study of more than 1000 patients

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Thomas Langer ◽  
◽  
Matteo Brioni ◽  
Amedeo Guzzardella ◽  
Eleonora Carlesso ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Respiratory Failure ◽  
Prone Position ◽  
Severe Disease ◽  
Invasive Mechanical Ventilation ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
National Cohort ◽  
Ventilated Patients

Abstract Background Limited data are available on the use of prone position in intubated, invasively ventilated patients with Coronavirus disease-19 (COVID-19). Aim of this study is to investigate the use and effect of prone position in this population during the first 2020 pandemic wave. Methods Retrospective, multicentre, national cohort study conducted between February 24 and June 14, 2020, in 24 Italian Intensive Care Units (ICU) on adult patients needing invasive mechanical ventilation for respiratory failure caused by COVID-19. Clinical data were collected on the day of ICU admission. Information regarding the use of prone position was collected daily. Follow-up for patient outcomes was performed on July 15, 2020. The respiratory effects of the first prone position were studied in a subset of 78 patients. Patients were classified as Oxygen Responders if the PaO2/FiO2 ratio increased ≥ 20 mmHg during prone position and as Carbon Dioxide Responders if the ventilatory ratio was reduced during prone position. Results Of 1057 included patients, mild, moderate and severe ARDS was present in 15, 50 and 35% of patients, respectively, and had a resulting mortality of 25, 33 and 41%. Prone position was applied in 61% of the patients. Patients placed prone had a more severe disease and died significantly more (45% vs. 33%, p < 0.001). Overall, prone position induced a significant increase in PaO2/FiO2 ratio, while no change in respiratory system compliance or ventilatory ratio was observed. Seventy-eight % of the subset of 78 patients were Oxygen Responders. Non-Responders had a more severe respiratory failure and died more often in the ICU (65% vs. 38%, p = 0.047). Forty-seven % of patients were defined as Carbon Dioxide Responders. These patients were older and had more comorbidities; however, no difference in terms of ICU mortality was observed (51% vs. 37%, p = 0.189 for Carbon Dioxide Responders and Non-Responders, respectively). Conclusions During the COVID-19 pandemic, prone position has been widely adopted to treat mechanically ventilated patients with respiratory failure. The majority of patients improved their oxygenation during prone position, most likely due to a better ventilation perfusion matching. Trial registration: clinicaltrials.gov number: NCT04388670

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