Should Early Prone Positioning Be a Standard of Care in ARDS With Refractory Hypoxemia?
Identifieur interne : 000136 ( Main/Exploration ); précédent : 000135; suivant : 000137Should Early Prone Positioning Be a Standard of Care in ARDS With Refractory Hypoxemia?
Auteurs : John J. Marini [États-Unis] ; Sean A. Josephs [États-Unis] ; Maggie Mechlin [États-Unis] ; William E. Hurford [États-Unis]Source :
- Respiratory care [ 1943-3654 ] ; 2016.
Descripteurs français
- KwdFr :
- Décubitus ventral (MeSH), Humains (MeSH), Hypoxie (complications), Hypoxie (thérapie), Norme de soins (MeSH), Syndrome de détresse respiratoire de l'adulte (complications), Syndrome de détresse respiratoire de l'adulte (mortalité), Syndrome de détresse respiratoire de l'adulte (thérapie), Ventilation artificielle (méthodes).
- MESH :
- mortalité : Syndrome de détresse respiratoire de l'adulte.
- méthodes : Ventilation artificielle.
- thérapie : Hypoxie, Syndrome de détresse respiratoire de l'adulte.
- complications : Décubitus ventral, Humains, Hypoxie, Norme de soins, Syndrome de détresse respiratoire de l'adulte.
English descriptors
- KwdEn :
- MESH :
- complications : Hypoxia, Respiratory Distress Syndrome, Adult.
- methods : Respiration, Artificial.
- mortality : Respiratory Distress Syndrome, Adult.
- therapy : Hypoxia, Respiratory Distress Syndrome, Adult.
- Humans, Prone Position, Standard of Care.
Abstract
For the past 4 decades, the prone position has been employed as an occasional rescue option for patients with severe hypoxemia unresponsive to conventional measures applied in the supine orientation. Proning offers a high likelihood of significantly improved arterial oxygenation to well selected patients, but until the results of a convincing randomized trial were published, its potential to reduce mortality risk remained in serious doubt. Proning does not benefit patients of all disease severities and stages but may be life-saving for others. Because it requires advanced nursing skills and escalation of monitoring surveillance to deploy safely, its place as an early stage standard of care depends on the definition of that label.
DOI: 10.4187/respcare.04562
PubMed: 27235316
Affiliations:
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Josephs</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Anesthesiology, University of Cincinnati, Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Mechlin, Maggie" sort="Mechlin, Maggie" uniqKey="Mechlin M" first="Maggie" last="Mechlin">Maggie Mechlin</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Anesthesiology, University of Cincinnati, Cincinnati</wicri:cityArea></affiliation></author><author><name sortKey="Hurford, William E" sort="Hurford, William E" uniqKey="Hurford W" first="William E" last="Hurford">William E. 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Hurford</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Department of Anesthesiology, University of Cincinnati, Cincinnati</wicri:cityArea></affiliation></author></analytic><series><title level="j">Respiratory care</title><idno type="eISSN">1943-3654</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Hypoxia (complications)</term><term>Hypoxia (therapy)</term><term>Prone Position (MeSH)</term><term>Respiration, Artificial (methods)</term><term>Respiratory Distress Syndrome, Adult (complications)</term><term>Respiratory Distress Syndrome, Adult (mortality)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term><term>Standard of Care (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Décubitus ventral (MeSH)</term><term>Humains (MeSH)</term><term>Hypoxie (complications)</term><term>Hypoxie (thérapie)</term><term>Norme de soins (MeSH)</term><term>Syndrome de détresse respiratoire de l'adulte (complications)</term><term>Syndrome de détresse respiratoire de l'adulte (mortalité)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Ventilation artificielle (méthodes)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hypoxia</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Ventilation artificielle</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Hypoxia</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Hypoxie</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Prone Position</term><term>Standard of Care</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Décubitus ventral</term><term>Humains</term><term>Hypoxie</term><term>Norme de soins</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">For the past 4 decades, the prone position has been employed as an occasional rescue option for patients with severe hypoxemia unresponsive to conventional measures applied in the supine orientation. Proning offers a high likelihood of significantly improved arterial oxygenation to well selected patients, but until the results of a convincing randomized trial were published, its potential to reduce mortality risk remained in serious doubt. Proning does not benefit patients of all disease severities and stages but may be life-saving for others. Because it requires advanced nursing skills and escalation of monitoring surveillance to deploy safely, its place as an early stage standard of care depends on the definition of that label. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27235316</PMID><DateCompleted><Year>2017</Year><Month>04</Month><Day>04</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1943-3654</ISSN><JournalIssue CitedMedium="Internet"><Volume>61</Volume><Issue>6</Issue><PubDate><Year>2016</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Respiratory care</Title></Journal><ArticleTitle>Should Early Prone Positioning Be a Standard of Care in ARDS With Refractory Hypoxemia?</ArticleTitle><Pagination><MedlinePgn>818-29</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4187/respcare.04562</ELocationID><Abstract><AbstractText>For the past 4 decades, the prone position has been employed as an occasional rescue option for patients with severe hypoxemia unresponsive to conventional measures applied in the supine orientation. Proning offers a high likelihood of significantly improved arterial oxygenation to well selected patients, but until the results of a convincing randomized trial were published, its potential to reduce mortality risk remained in serious doubt. Proning does not benefit patients of all disease severities and stages but may be life-saving for others. Because it requires advanced nursing skills and escalation of monitoring surveillance to deploy safely, its place as an early stage standard of care depends on the definition of that label. </AbstractText><CopyrightInformation>Copyright © 2016 by Daedalus Enterprises.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Marini</LastName><ForeName>John J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>University of Minnesota, Minneapolis, Minnesota and with the Pulmonary and Critical Care Department of Regions Hospital, St. Paul, Minnesota. marin002@umn.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Josephs</LastName><ForeName>Sean A</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mechlin</LastName><ForeName>Maggie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hurford</LastName><ForeName>William E</ForeName><Initials>WE</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, University of Cincinnati, Cincinnati, Ohio.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Respir Care</MedlineTA><NlmUniqueID>7510357</NlmUniqueID><ISSNLinking>0020-1324</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Respir Care. 2016 Nov;61(11):1564</RefSource><PMID Version="1">27794086</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000860" MajorTopicYN="N">Hypoxia</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="N">Respiration, Artificial</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059039" MajorTopicYN="Y">Standard of Care</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">ARDS</Keyword><Keyword MajorTopicYN="Y">mechanical ventilation</Keyword><Keyword MajorTopicYN="Y">prone position</Keyword><Keyword MajorTopicYN="Y">refractory hypoxemia</Keyword><Keyword MajorTopicYN="Y">respiratory failure</Keyword><Keyword MajorTopicYN="Y">secretion clearance</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>5</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>5</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27235316</ArticleId><ArticleId IdType="pii">61/6/818</ArticleId><ArticleId IdType="doi">10.4187/respcare.04562</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Marini, John J" sort="Marini, John J" uniqKey="Marini J" first="John J" last="Marini">John J. Marini</name></region><name sortKey="Hurford, William E" sort="Hurford, William E" uniqKey="Hurford W" first="William E" last="Hurford">William E. Hurford</name><name sortKey="Josephs, Sean A" sort="Josephs, Sean A" uniqKey="Josephs S" first="Sean A" last="Josephs">Sean A. Josephs</name><name sortKey="Mechlin, Maggie" sort="Mechlin, Maggie" uniqKey="Mechlin M" first="Maggie" last="Mechlin">Maggie Mechlin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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