SrdaDecubitusV1, Main, Exploration, bibRecord, 000145

Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.

Identifieur interne : 000145 ( Main/Exploration ); précédent : 000144; suivant : 000146

Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.

Auteurs : Malik Haddam [France] ; Laurent Zieleskiewicz [France] ; Sebastien Perbet [France] ; Alice Baldovini [France] ; Christophe Guervilly [France] ; Charlotte Arbelot [France] ; Alexandre Noel [France] ; Coralie Vigne [France] ; Emmanuelle Hammad [France] ; François Antonini [France] ; Samuel Lehingue [France] ; Eric Peytel [France] ; Qin Lu [France] ; Belaid Bouhemad [France] ; Jean-Louis Golmard [France] ; Olivier Langeron [France] ; Claude Martin [France] ; Laurent Muller [France] ; Jean-Jacques Rouby [France] ; Jean-Michel Constantin [France] ; Laurent Papazian [France] ; Marc Leone [France]

Source :

Intensive care medicine [ 1432-1238 ] ; 2016.

RBID : pubmed:27324241

Descripteurs français

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Blood Gas Analysis (MeSH), Female (MeSH), Humans (MeSH), Intensive Care Units (MeSH), Lung (diagnostic imaging), Male (MeSH), Middle Aged (MeSH), Partial Pressure (MeSH), Positive-Pressure Respiration (methods), Predictive Value of Tests (MeSH), Prone Position (MeSH), Prospective Studies (MeSH), Respiration (MeSH), Respiratory Distress Syndrome, Adult (blood), Respiratory Distress Syndrome, Adult (diagnostic imaging), Respiratory Distress Syndrome, Adult (therapy), Ultrasonography (methods).
MESH :
- blood : Respiratory Distress Syndrome, Adult.
- diagnostic imaging : Lung, Respiratory Distress Syndrome, Adult.
- methods : Positive-Pressure Respiration, Ultrasonography.
- therapy : Respiratory Distress Syndrome, Adult.
- Adult, Aged, Blood Gas Analysis, Female, Humans, Intensive Care Units, Male, Middle Aged, Partial Pressure, Predictive Value of Tests, Prone Position, Prospective Studies, Respiration.

Abstract

PURPOSE

Prone position (PP) improves oxygenation and outcome of acute respiratory distress syndrome (ARDS) patients with a PaO2/FiO2 ratio <150 mmHg. Regional changes in lung aeration can be assessed by lung ultrasound (LUS). Our aim was to predict the magnitude of oxygenation response after PP using bedside LUS.

METHODS

We conducted a prospective multicenter study that included adult patients with severe and moderate ARDS. LUS data were collected at four time points: 1 h before (baseline) and 1 h after turning the patient to PP, 1 h before and 1 h after turning the patient back to the supine position. Regional lung aeration changes and ultrasound reaeration scores were assessed at each time. Overdistension was not assessed.

RESULTS

Fifty-one patients were included. Oxygenation response after PP was not correlated with a specific LUS pattern. The patients with focal and non-focal ARDS showed no difference in global reaeration score. With regard to the entire PP session, the patients with non-focal ARDS had an improved aeration gain in the anterior areas. Oxygenation response was not associated with aeration changes. No difference in PaCO2 change was found according to oxygenation response or lung morphology.

CONCLUSIONS

In ARDS patients with a PaO2/FiO2 ratio ≤150 mmHg, bedside LUS cannot predict oxygenation response after the first PP session. At the bedside, LUS enables monitoring of aeration changes during PP.

DOI: 10.1007/s00134-016-4411-7
PubMed: 27324241

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Peytel, Eric" sort="Peytel, Eric" uniqKey="Peytel E" first="Eric" last="Peytel">Eric Peytel</name>
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<author><name sortKey="Langeron, Olivier" sort="Langeron, Olivier" uniqKey="Langeron O" first="Olivier" last="Langeron">Olivier Langeron</name>
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<author><name sortKey="Martin, Claude" sort="Martin, Claude" uniqKey="Martin C" first="Claude" last="Martin">Claude Martin</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Muller, Laurent" sort="Muller, Laurent" uniqKey="Muller L" first="Laurent" last="Muller">Laurent Muller</name>
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<author><name sortKey="Rouby, Jean Jacques" sort="Rouby, Jean Jacques" uniqKey="Rouby J" first="Jean-Jacques" last="Rouby">Jean-Jacques Rouby</name>
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<author><name sortKey="Constantin, Jean Michel" sort="Constantin, Jean Michel" uniqKey="Constantin J" first="Jean-Michel" last="Constantin">Jean-Michel Constantin</name>
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<author><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name>
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<author><name sortKey="Leone, Marc" sort="Leone, Marc" uniqKey="Leone M" first="Marc" last="Leone">Marc Leone</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.</title>
<author><name sortKey="Haddam, Malik" sort="Haddam, Malik" uniqKey="Haddam M" first="Malik" last="Haddam">Malik Haddam</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Zieleskiewicz, Laurent" sort="Zieleskiewicz, Laurent" uniqKey="Zieleskiewicz L" first="Laurent" last="Zieleskiewicz">Laurent Zieleskiewicz</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
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</author>
<author><name sortKey="Perbet, Sebastien" sort="Perbet, Sebastien" uniqKey="Perbet S" first="Sebastien" last="Perbet">Sebastien Perbet</name>
<affiliation wicri:level="3"><nlm:affiliation>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand</wicri:regionArea>
<placeName><region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Baldovini, Alice" sort="Baldovini, Alice" uniqKey="Baldovini A" first="Alice" last="Baldovini">Alice Baldovini</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Guervilly, Christophe" sort="Guervilly, Christophe" uniqKey="Guervilly C" first="Christophe" last="Guervilly">Christophe Guervilly</name>
<affiliation wicri:level="4"><nlm:affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Arbelot, Charlotte" sort="Arbelot, Charlotte" uniqKey="Arbelot C" first="Charlotte" last="Arbelot">Charlotte Arbelot</name>
<affiliation wicri:level="3"><nlm:affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Noel, Alexandre" sort="Noel, Alexandre" uniqKey="Noel A" first="Alexandre" last="Noel">Alexandre Noel</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Vigne, Coralie" sort="Vigne, Coralie" uniqKey="Vigne C" first="Coralie" last="Vigne">Coralie Vigne</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Hammad, Emmanuelle" sort="Hammad, Emmanuelle" uniqKey="Hammad E" first="Emmanuelle" last="Hammad">Emmanuelle Hammad</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Antonini, Francois" sort="Antonini, Francois" uniqKey="Antonini F" first="François" last="Antonini">François Antonini</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Lehingue, Samuel" sort="Lehingue, Samuel" uniqKey="Lehingue S" first="Samuel" last="Lehingue">Samuel Lehingue</name>
<affiliation wicri:level="4"><nlm:affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Peytel, Eric" sort="Peytel, Eric" uniqKey="Peytel E" first="Eric" last="Peytel">Eric Peytel</name>
<affiliation wicri:level="3"><nlm:affiliation>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lu, Qin" sort="Lu, Qin" uniqKey="Lu Q" first="Qin" last="Lu">Qin Lu</name>
<affiliation wicri:level="3"><nlm:affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bouhemad, Belaid" sort="Bouhemad, Belaid" uniqKey="Bouhemad B" first="Belaid" last="Bouhemad">Belaid Bouhemad</name>
<affiliation wicri:level="1"><nlm:affiliation>Centre Hospitalier Universitaire de Dijon, 36659, Service Anesthésie Réanimation, Dijon, Bourgogne, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Centre Hospitalier Universitaire de Dijon, 36659, Service Anesthésie Réanimation, Dijon, Bourgogne</wicri:regionArea>
<wicri:noRegion>Bourgogne</wicri:noRegion>
<wicri:noRegion>Bourgogne</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Golmard, Jean Louis" sort="Golmard, Jean Louis" uniqKey="Golmard J" first="Jean-Louis" last="Golmard">Jean-Louis Golmard</name>
<affiliation wicri:level="3"><nlm:affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Langeron, Olivier" sort="Langeron, Olivier" uniqKey="Langeron O" first="Olivier" last="Langeron">Olivier Langeron</name>
<affiliation wicri:level="3"><nlm:affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Martin, Claude" sort="Martin, Claude" uniqKey="Martin C" first="Claude" last="Martin">Claude Martin</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Muller, Laurent" sort="Muller, Laurent" uniqKey="Muller L" first="Laurent" last="Muller">Laurent Muller</name>
<affiliation wicri:level="3"><nlm:affiliation>Service des réanimations, pôle anesthésie réanimation douleur urgence, CHU Nîmes, Nîmes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service des réanimations, pôle anesthésie réanimation douleur urgence, CHU Nîmes, Nîmes</wicri:regionArea>
<placeName><region type="region">Occitanie (région administrative)</region>
<region type="old region">Languedoc-Roussillon</region>
<settlement type="city">Nîmes</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rouby, Jean Jacques" sort="Rouby, Jean Jacques" uniqKey="Rouby J" first="Jean-Jacques" last="Rouby">Jean-Jacques Rouby</name>
<affiliation wicri:level="3"><nlm:affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Constantin, Jean Michel" sort="Constantin, Jean Michel" uniqKey="Constantin J" first="Jean-Michel" last="Constantin">Jean-Michel Constantin</name>
<affiliation wicri:level="3"><nlm:affiliation>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand</wicri:regionArea>
<placeName><region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Auvergne (région administrative)</region>
<settlement type="city">Clermont-Ferrand</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name>
<affiliation wicri:level="4"><nlm:affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille</wicri:regionArea>
<placeName><region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Leone, Marc" sort="Leone, Marc" uniqKey="Leone M" first="Marc" last="Leone">Marc Leone</name>
<affiliation wicri:level="4"><nlm:affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France. marc.leone@ap-hm.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille</wicri:regionArea>
<placeName><region type="region" nuts="2">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j">Intensive care medicine</title>
<idno type="eISSN">1432-1238</idno>
<imprint><date when="2016" type="published">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Blood Gas Analysis (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Intensive Care Units (MeSH)</term>
<term>Lung (diagnostic imaging)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Partial Pressure (MeSH)</term>
<term>Positive-Pressure Respiration (methods)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Prone Position (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Respiration (MeSH)</term>
<term>Respiratory Distress Syndrome, Adult (blood)</term>
<term>Respiratory Distress Syndrome, Adult (diagnostic imaging)</term>
<term>Respiratory Distress Syndrome, Adult (therapy)</term>
<term>Ultrasonography (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Décubitus ventral (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gazométrie sanguine (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Poumon (imagerie diagnostique)</term>
<term>Pression partielle (MeSH)</term>
<term>Respiration (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique)</term>
<term>Syndrome de détresse respiratoire de l'adulte (sang)</term>
<term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term>
<term>Unités de soins intensifs (MeSH)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Ventilation à pression positive (méthodes)</term>
<term>Échographie (méthodes)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lung</term>
<term>Respiratory Distress Syndrome, Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Poumon</term>
<term>Syndrome de détresse respiratoire de l'adulte</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Positive-Pressure Respiration</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Ventilation à pression positive</term>
<term>Échographie</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Blood Gas Analysis</term>
<term>Female</term>
<term>Humans</term>
<term>Intensive Care Units</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Partial Pressure</term>
<term>Predictive Value of Tests</term>
<term>Prone Position</term>
<term>Prospective Studies</term>
<term>Respiration</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Décubitus ventral</term>
<term>Femelle</term>
<term>Gazométrie sanguine</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pression partielle</term>
<term>Respiration</term>
<term>Sujet âgé</term>
<term>Unités de soins intensifs</term>
<term>Valeur prédictive des tests</term>
<term>Études prospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>Prone position (PP) improves oxygenation and outcome of acute respiratory distress syndrome (ARDS) patients with a PaO2/FiO2 ratio <150 mmHg. Regional changes in lung aeration can be assessed by lung ultrasound (LUS). Our aim was to predict the magnitude of oxygenation response after PP using bedside LUS.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We conducted a prospective multicenter study that included adult patients with severe and moderate ARDS. LUS data were collected at four time points: 1 h before (baseline) and 1 h after turning the patient to PP, 1 h before and 1 h after turning the patient back to the supine position. Regional lung aeration changes and ultrasound reaeration scores were assessed at each time. Overdistension was not assessed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Fifty-one patients were included. Oxygenation response after PP was not correlated with a specific LUS pattern. The patients with focal and non-focal ARDS showed no difference in global reaeration score. With regard to the entire PP session, the patients with non-focal ARDS had an improved aeration gain in the anterior areas. Oxygenation response was not associated with aeration changes. No difference in PaCO2 change was found according to oxygenation response or lung morphology.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>In ARDS patients with a PaO2/FiO2 ratio ≤150 mmHg, bedside LUS cannot predict oxygenation response after the first PP session. At the bedside, LUS enables monitoring of aeration changes during PP.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27324241</PMID>
<DateCompleted><Year>2017</Year>
<Month>09</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1238</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>42</Volume>
<Issue>10</Issue>
<PubDate><Year>2016</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Intensive care medicine</Title>
</Journal>
<ArticleTitle>Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.</ArticleTitle>
<Pagination><MedlinePgn>1546-1556</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00134-016-4411-7</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Prone position (PP) improves oxygenation and outcome of acute respiratory distress syndrome (ARDS) patients with a PaO2/FiO2 ratio <150 mmHg. Regional changes in lung aeration can be assessed by lung ultrasound (LUS). Our aim was to predict the magnitude of oxygenation response after PP using bedside LUS.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We conducted a prospective multicenter study that included adult patients with severe and moderate ARDS. LUS data were collected at four time points: 1 h before (baseline) and 1 h after turning the patient to PP, 1 h before and 1 h after turning the patient back to the supine position. Regional lung aeration changes and ultrasound reaeration scores were assessed at each time. Overdistension was not assessed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-one patients were included. Oxygenation response after PP was not correlated with a specific LUS pattern. The patients with focal and non-focal ARDS showed no difference in global reaeration score. With regard to the entire PP session, the patients with non-focal ARDS had an improved aeration gain in the anterior areas. Oxygenation response was not associated with aeration changes. No difference in PaCO2 change was found according to oxygenation response or lung morphology.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In ARDS patients with a PaO2/FiO2 ratio ≤150 mmHg, bedside LUS cannot predict oxygenation response after the first PP session. At the bedside, LUS enables monitoring of aeration changes during PP.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haddam</LastName>
<ForeName>Malik</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zieleskiewicz</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Perbet</LastName>
<ForeName>Sebastien</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Baldovini</LastName>
<ForeName>Alice</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Guervilly</LastName>
<ForeName>Christophe</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Arbelot</LastName>
<ForeName>Charlotte</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Noel</LastName>
<ForeName>Alexandre</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vigne</LastName>
<ForeName>Coralie</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hammad</LastName>
<ForeName>Emmanuelle</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Antonini</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lehingue</LastName>
<ForeName>Samuel</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Peytel</LastName>
<ForeName>Eric</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et réanimation, Hôpital d'instruction des armées, Laveran, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lu</LastName>
<ForeName>Qin</ForeName>
<Initials>Q</Initials>
<AffiliationInfo><Affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bouhemad</LastName>
<ForeName>Belaid</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Centre Hospitalier Universitaire de Dijon, 36659, Service Anesthésie Réanimation, Dijon, Bourgogne, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Golmard</LastName>
<ForeName>Jean-Louis</ForeName>
<Initials>JL</Initials>
<AffiliationInfo><Affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Langeron</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Martin</LastName>
<ForeName>Claude</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Muller</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service des réanimations, pôle anesthésie réanimation douleur urgence, CHU Nîmes, Nîmes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rouby</LastName>
<ForeName>Jean-Jacques</ForeName>
<Initials>JJ</Initials>
<AffiliationInfo><Affiliation>Réanimation polyvalente, département d'anesthésie et de réanimation, Hôpital Pitié Salpêtrière, Assistance Publique Hôpitaux de Paris (APHP), Université Pierre et Marie Curie Paris 6 (UPMC), Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Constantin</LastName>
<ForeName>Jean-Michel</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Département de Médecine Périopératoire, CHU Clermont-Ferrand, Clermont-Ferrand, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Papazian</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service de réanimation DRIS, Hôpital Nord, Aix Marseille Université, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Leone</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service d'anesthésie et de réanimation, Hôpital Nord, Assistance Publique Hôpitaux de Marseille, Aix Marseille Université, Chemin des Bourrely, 13015, Marseille, France. marc.leone@ap-hm.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>CAR’Echo Collaborative Network</CollectiveName>
</Author>
<Author ValidYN="Y"><CollectiveName>AzuRea Collaborative Network</CollectiveName>
</Author>
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<Language>eng</Language>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Intensive Care Med. 2016 Oct;42(10 ):1601-1603</RefSource>
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<CommentsCorrections RefType="CommentIn"><RefSource>J Thorac Dis. 2016 Dec;8(12 ):E1763-E1766</RefSource>
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<Keyword MajorTopicYN="N">Lung ultrasound</Keyword>
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<affiliations><list><country><li>France</li>
</country>
<region><li>Auvergne (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Languedoc-Roussillon</li>
<li>Occitanie (région administrative)</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Île-de-France</li>
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<tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Haddam, Malik" sort="Haddam, Malik" uniqKey="Haddam M" first="Malik" last="Haddam">Malik Haddam</name>
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<name sortKey="Noel, Alexandre" sort="Noel, Alexandre" uniqKey="Noel A" first="Alexandre" last="Noel">Alexandre Noel</name>
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<name sortKey="Rouby, Jean Jacques" sort="Rouby, Jean Jacques" uniqKey="Rouby J" first="Jean-Jacques" last="Rouby">Jean-Jacques Rouby</name>
<name sortKey="Vigne, Coralie" sort="Vigne, Coralie" uniqKey="Vigne C" first="Coralie" last="Vigne">Coralie Vigne</name>
<name sortKey="Zieleskiewicz, Laurent" sort="Zieleskiewicz, Laurent" uniqKey="Zieleskiewicz L" first="Laurent" last="Zieleskiewicz">Laurent Zieleskiewicz</name>
</country>
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   |texte=   Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.
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	Serveur d'exploration SDRA et décubitus ventral
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Serveur d'exploration SDRA et décubitus ventral

Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.

Lung ultrasonography for assessment of oxygenation response to prone position ventilation in ARDS.

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