Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?
Identifieur interne : 000157 ( Main/Exploration ); précédent : 000156; suivant : 000158Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?
Auteurs : Gwenaël Prat [France] ; Solène Guinard [France] ; Nicolas Bizien [France] ; Emmanuel Nowak [France] ; Jean-Marie Tonnelier [France] ; Zarrin Alavi [France] ; Anne Renault [France] ; Jean-Michel Boles [France] ; Erwan L'Her [France]Source :
- Journal of critical care [ 1557-8615 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Décubitus ventral (MeSH), Femelle (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Hémothorax (imagerie diagnostique), Hémothorax (thérapie), Hémothorax (étiologie), Mâle (MeSH), Poumon (anatomopathologie), Poumon (imagerie diagnostique), Syndrome de détresse respiratoire de l'adulte (complications), Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique), Syndrome de détresse respiratoire de l'adulte (thérapie), Valeur prédictive des tests (MeSH), Ventilation à pression positive (méthodes), Échanges gazeux pulmonaires (MeSH), Études prospectives (MeSH).
- MESH :
- anatomopathologie : Poumon.
- imagerie diagnostique : Hémothorax, Poumon, Syndrome de détresse respiratoire de l'adulte.
- méthodes : Ventilation à pression positive.
- thérapie : Hémothorax, Syndrome de détresse respiratoire de l'adulte.
- étiologie : Hémothorax.
- complications : Adulte, Adulte d'âge moyen, Décubitus ventral, Femelle, Guides de bonnes pratiques cliniques comme sujet, Humains, Mâle, Syndrome de détresse respiratoire de l'adulte, Valeur prédictive des tests, Échanges gazeux pulmonaires, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Female (MeSH), Hemothorax (diagnostic imaging), Hemothorax (etiology), Hemothorax (therapy), Humans (MeSH), Lung (diagnostic imaging), Lung (pathology), Male (MeSH), Middle Aged (MeSH), Positive-Pressure Respiration (methods), Practice Guidelines as Topic (MeSH), Predictive Value of Tests (MeSH), Prone Position (MeSH), Prospective Studies (MeSH), Pulmonary Gas Exchange (MeSH), Respiratory Distress Syndrome, Adult (complications), Respiratory Distress Syndrome, Adult (diagnostic imaging), Respiratory Distress Syndrome, Adult (therapy).
- MESH :
- complications : Respiratory Distress Syndrome, Adult.
- diagnostic imaging : Hemothorax, Lung, Respiratory Distress Syndrome, Adult.
- etiology : Hemothorax.
- methods : Positive-Pressure Respiration.
- pathology : Lung.
- therapy : Hemothorax, Respiratory Distress Syndrome, Adult.
- Adult, Female, Humans, Male, Middle Aged, Practice Guidelines as Topic, Predictive Value of Tests, Prone Position, Prospective Studies, Pulmonary Gas Exchange.
Abstract
PURPOSE
The purpose was to assess whether lung ultrasonography (L-US) is a useful tool in prediction of prone positioning (PP) oxygenation response in patients with acute respiratory distress syndrome (ARDS).
METHODS
In a prospective study, 19 ARDS patients were included for assessment of PP oxygenation response. The latter was assessed for at least 12 hours 6 different ultrasonography windows were performed on each hemithorax before prone (H0, H2, H12 before return to supine and at H14 (2 hours after return to supine). Patients were classified into 2 groups (responders / non responders) according their oxygenation response to PP. Ultrasonography videos were blindly evaluated by 3 expert clinicians to classify lung regions as "normal", "moderate loss of aeration," "severe loss of aeration," or "lung consolidation." Oxygenation parameters were collected at H0, H2, and H14.
RESULTS
Association of each lung region aspect to PP oxygenation response was compared between the 2 groups. The normal aspect of the anterobasal regions was significantly associated with the oxygenation response (P = .0436), with a positive predictive value equal to or near 100%.
DISCUSSION
Our results demonstrated that a simple and short L-US examination could be a useful tool in prediction of PP oxygenation response in ARDS patients. A normal L-US pattern of both anterobasal lung regions in supine position may predict a significant PaO2/FIO2 ratio improvement.
DOI: 10.1016/j.jcrc.2015.12.015
PubMed: 26806842
Affiliations:
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Electronic address: zarrin.alavi@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Renault, Anne" sort="Renault, Anne" uniqKey="Renault A" first="Anne" last="Renault">Anne Renault</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: anne.renault@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Boles, Jean Michel" sort="Boles, Jean Michel" uniqKey="Boles J" first="Jean-Michel" last="Boles">Jean-Michel Boles</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: jean-michel.boles@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="L Her, Erwan" sort="L Her, Erwan" uniqKey="L Her E" first="Erwan" last="L'Her">Erwan L'Her</name><affiliation wicri:level="4"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France; LATIM INSERM UMR1101, CHRU de Brest, Université de Bretagne Occidentale, 29200 Brest, France. Electronic address: erwan.lher@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France; LATIM INSERM UMR1101, CHRU de Brest, Université de Bretagne Occidentale, 29200 Brest</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName><orgName type="university">Université de Bretagne Occidentale</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26806842</idno><idno type="pmid">26806842</idno><idno type="doi">10.1016/j.jcrc.2015.12.015</idno><idno type="wicri:Area/Main/Corpus">000151</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000151</idno><idno type="wicri:Area/Main/Curation">000151</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000151</idno><idno type="wicri:Area/Main/Exploration">000151</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?</title><author><name sortKey="Prat, Gwenael" sort="Prat, Gwenael" uniqKey="Prat G" first="Gwenaël" last="Prat">Gwenaël Prat</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: gwenael.prat@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Guinard, Solene" sort="Guinard, Solene" uniqKey="Guinard S" first="Solène" last="Guinard">Solène Guinard</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: soleneguinard@yahoo.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Bizien, Nicolas" sort="Bizien, Nicolas" uniqKey="Bizien N" first="Nicolas" last="Bizien">Nicolas Bizien</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: biziennico@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Nowak, Emmanuel" sort="Nowak, Emmanuel" uniqKey="Nowak E" first="Emmanuel" last="Nowak">Emmanuel Nowak</name><affiliation wicri:level="3"><nlm:affiliation>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: emmanuel.nowak@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Tonnelier, Jean Marie" sort="Tonnelier, Jean Marie" uniqKey="Tonnelier J" first="Jean-Marie" last="Tonnelier">Jean-Marie Tonnelier</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: jean-marie.tonnelier@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Alavi, Zarrin" sort="Alavi, Zarrin" uniqKey="Alavi Z" first="Zarrin" last="Alavi">Zarrin Alavi</name><affiliation wicri:level="3"><nlm:affiliation>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: zarrin.alavi@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Renault, Anne" sort="Renault, Anne" uniqKey="Renault A" first="Anne" last="Renault">Anne Renault</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: anne.renault@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="Boles, Jean Michel" sort="Boles, Jean Michel" uniqKey="Boles J" first="Jean-Michel" last="Boles">Jean-Michel Boles</name><affiliation wicri:level="3"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: jean-michel.boles@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName></affiliation></author><author><name sortKey="L Her, Erwan" sort="L Her, Erwan" uniqKey="L Her E" first="Erwan" last="L'Her">Erwan L'Her</name><affiliation wicri:level="4"><nlm:affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France; LATIM INSERM UMR1101, CHRU de Brest, Université de Bretagne Occidentale, 29200 Brest, France. Electronic address: erwan.lher@chu-brest.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France; LATIM INSERM UMR1101, CHRU de Brest, Université de Bretagne Occidentale, 29200 Brest</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Brest</settlement></placeName><orgName type="university">Université de Bretagne Occidentale</orgName></affiliation></author></analytic><series><title level="j">Journal of critical care</title><idno type="eISSN">1557-8615</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>Female (MeSH)</term><term>Hemothorax (diagnostic imaging)</term><term>Hemothorax (etiology)</term><term>Hemothorax (therapy)</term><term>Humans (MeSH)</term><term>Lung (diagnostic imaging)</term><term>Lung (pathology)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Positive-Pressure Respiration (methods)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Prone Position (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Pulmonary Gas Exchange (MeSH)</term><term>Respiratory Distress Syndrome, Adult (complications)</term><term>Respiratory Distress Syndrome, Adult (diagnostic imaging)</term><term>Respiratory Distress Syndrome, Adult (therapy)</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>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Hémothorax (imagerie diagnostique)</term><term>Hémothorax (thérapie)</term><term>Hémothorax (étiologie)</term><term>Mâle (MeSH)</term><term>Poumon (anatomopathologie)</term><term>Poumon (imagerie diagnostique)</term><term>Syndrome de détresse respiratoire de l'adulte (complications)</term><term>Syndrome de détresse respiratoire de l'adulte (imagerie diagnostique)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Valeur prédictive des tests (MeSH)</term><term>Ventilation à pression positive (méthodes)</term><term>Échanges gazeux pulmonaires (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Poumon</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Hemothorax</term><term>Lung</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hemothorax</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Hémothorax</term><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></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Ventilation à pression positive</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lung</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Hemothorax</term><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Hémothorax</term><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hémothorax</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Practice Guidelines as Topic</term><term>Predictive Value of Tests</term><term>Prone Position</term><term>Prospective Studies</term><term>Pulmonary Gas Exchange</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Décubitus ventral</term><term>Femelle</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Mâle</term><term>Syndrome de détresse respiratoire de l'adulte</term><term>Valeur prédictive des tests</term><term>Échanges gazeux pulmonaires</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The purpose was to assess whether lung ultrasonography (L-US) is a useful tool in prediction of prone positioning (PP) oxygenation response in patients with acute respiratory distress syndrome (ARDS).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In a prospective study, 19 ARDS patients were included for assessment of PP oxygenation response. The latter was assessed for at least 12 hours 6 different ultrasonography windows were performed on each hemithorax before prone (H0, H2, H12 before return to supine and at H14 (2 hours after return to supine). Patients were classified into 2 groups (responders / non responders) according their oxygenation response to PP. Ultrasonography videos were blindly evaluated by 3 expert clinicians to classify lung regions as "normal", "moderate loss of aeration," "severe loss of aeration," or "lung consolidation." Oxygenation parameters were collected at H0, H2, and H14.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Association of each lung region aspect to PP oxygenation response was compared between the 2 groups. The normal aspect of the anterobasal regions was significantly associated with the oxygenation response (P = .0436), with a positive predictive value equal to or near 100%.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Our results demonstrated that a simple and short L-US examination could be a useful tool in prediction of PP oxygenation response in ARDS patients. A normal L-US pattern of both anterobasal lung regions in supine position may predict a significant PaO2/FIO2 ratio improvement.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26806842</PMID><DateCompleted><Year>2016</Year><Month>12</Month><Day>13</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8615</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><PubDate><Year>2016</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of critical care</Title></Journal><ArticleTitle>Can lung ultrasonography predict prone positioning response in acute respiratory distress syndrome patients?</ArticleTitle><Pagination><MedlinePgn>36-41</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrc.2015.12.015</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0883-9441(15)00619-X</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">The purpose was to assess whether lung ultrasonography (L-US) is a useful tool in prediction of prone positioning (PP) oxygenation response in patients with acute respiratory distress syndrome (ARDS).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In a prospective study, 19 ARDS patients were included for assessment of PP oxygenation response. The latter was assessed for at least 12 hours 6 different ultrasonography windows were performed on each hemithorax before prone (H0, H2, H12 before return to supine and at H14 (2 hours after return to supine). Patients were classified into 2 groups (responders / non responders) according their oxygenation response to PP. Ultrasonography videos were blindly evaluated by 3 expert clinicians to classify lung regions as "normal", "moderate loss of aeration," "severe loss of aeration," or "lung consolidation." Oxygenation parameters were collected at H0, H2, and H14.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Association of each lung region aspect to PP oxygenation response was compared between the 2 groups. The normal aspect of the anterobasal regions was significantly associated with the oxygenation response (P = .0436), with a positive predictive value equal to or near 100%.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Our results demonstrated that a simple and short L-US examination could be a useful tool in prediction of PP oxygenation response in ARDS patients. A normal L-US pattern of both anterobasal lung regions in supine position may predict a significant PaO2/FIO2 ratio improvement.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Prat</LastName><ForeName>Gwenaël</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: gwenael.prat@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guinard</LastName><ForeName>Solène</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: soleneguinard@yahoo.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bizien</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: biziennico@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nowak</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: emmanuel.nowak@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tonnelier</LastName><ForeName>Jean-Marie</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: jean-marie.tonnelier@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alavi</LastName><ForeName>Zarrin</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>UBO, CIC INSERM 1412, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: zarrin.alavi@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Renault</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: anne.renault@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boles</LastName><ForeName>Jean-Michel</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France. Electronic address: jean-michel.boles@chu-brest.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>L'Her</LastName><ForeName>Erwan</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Réanimation Médicale, CHRU de la Cavale Blanche, Bvd Tanguy-Prigent, 29609 Brest Cedex, France; LATIM INSERM UMR1101, CHRU de Brest, Université de Bretagne Occidentale, 29200 Brest, France. Electronic address: erwan.lher@chu-brest.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Crit Care</MedlineTA><NlmUniqueID>8610642</NlmUniqueID><ISSNLinking>0883-9441</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006491" MajorTopicYN="N">Hemothorax</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011175" MajorTopicYN="N">Positive-Pressure Respiration</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011659" MajorTopicYN="N">Pulmonary Gas Exchange</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute respiratory distress syndrome</Keyword><Keyword MajorTopicYN="N">Lung ultrasonography</Keyword><Keyword MajorTopicYN="N">Prone positioning</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>08</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>11</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>12</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26806842</ArticleId><ArticleId IdType="pii">S0883-9441(15)00619-X</ArticleId><ArticleId IdType="doi">10.1016/j.jcrc.2015.12.015</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Région Bretagne</li></region><settlement><li>Brest</li></settlement><orgName><li>Université de Bretagne Occidentale</li></orgName></list><tree><country name="France"><region name="Région Bretagne"><name sortKey="Prat, Gwenael" sort="Prat, Gwenael" uniqKey="Prat G" first="Gwenaël" last="Prat">Gwenaël Prat</name></region><name sortKey="Alavi, Zarrin" sort="Alavi, Zarrin" uniqKey="Alavi Z" first="Zarrin" last="Alavi">Zarrin Alavi</name><name sortKey="Bizien, Nicolas" sort="Bizien, Nicolas" uniqKey="Bizien N" first="Nicolas" last="Bizien">Nicolas Bizien</name><name sortKey="Boles, Jean Michel" sort="Boles, Jean Michel" uniqKey="Boles J" first="Jean-Michel" last="Boles">Jean-Michel Boles</name><name sortKey="Guinard, Solene" sort="Guinard, Solene" uniqKey="Guinard S" first="Solène" last="Guinard">Solène Guinard</name><name sortKey="L Her, Erwan" sort="L Her, Erwan" uniqKey="L Her E" first="Erwan" last="L'Her">Erwan L'Her</name><name sortKey="Nowak, Emmanuel" sort="Nowak, Emmanuel" uniqKey="Nowak E" first="Emmanuel" last="Nowak">Emmanuel Nowak</name><name sortKey="Renault, Anne" sort="Renault, Anne" uniqKey="Renault A" first="Anne" last="Renault">Anne Renault</name><name sortKey="Tonnelier, Jean Marie" sort="Tonnelier, Jean Marie" uniqKey="Tonnelier J" first="Jean-Marie" last="Tonnelier">Jean-Marie Tonnelier</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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