[Effect of prone position on the oxygenation of patients with acute respiratory distress syndrome after failure recruitment maneuvers at high altitudes].
Identifieur interne : 000272 ( Main/Exploration ); précédent : 000271; suivant : 000273[Effect of prone position on the oxygenation of patients with acute respiratory distress syndrome after failure recruitment maneuvers at high altitudes].
Auteurs : Wen-Xin Wang [République populaire de Chine] ; Bo Xu ; Hu-Sai Ma ; Jian-Bin MengSource :
- Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue [ 1003-0603 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Altitude (MeSH), Décubitus dorsal (MeSH), Décubitus ventral (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Oxygène (métabolisme), Positionnement du patient (MeSH), Syndrome de détresse respiratoire de l'adulte (métabolisme), Syndrome de détresse respiratoire de l'adulte (thérapie), Syndrome de détresse respiratoire de l'adulte (étiologie), Ventilation artificielle (méthodes), Échec thérapeutique (MeSH), Études prospectives (MeSH).
- MESH :
- métabolisme : Oxygène, Syndrome de détresse respiratoire de l'adulte.
- méthodes : Ventilation artificielle.
- thérapie : Syndrome de détresse respiratoire de l'adulte.
- étiologie : Syndrome de détresse respiratoire de l'adulte.
- Adulte, Adulte d'âge moyen, Altitude, Décubitus dorsal, Décubitus ventral, Femelle, Humains, Jeune adulte, Mâle, Positionnement du patient, Échec thérapeutique, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Altitude (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Oxygen (metabolism), Patient Positioning (MeSH), Prone Position (MeSH), Prospective Studies (MeSH), Respiration, Artificial (methods), Respiratory Distress Syndrome, Adult (etiology), Respiratory Distress Syndrome, Adult (metabolism), Respiratory Distress Syndrome, Adult (therapy), Supine Position (MeSH), Treatment Failure (MeSH), Young Adult (MeSH).
- MESH :
- chemical , metabolism : Oxygen.
- etiology : Respiratory Distress Syndrome, Adult.
- metabolism : Respiratory Distress Syndrome, Adult.
- methods : Respiration, Artificial.
- therapy : Respiratory Distress Syndrome, Adult.
- Adult, Altitude, Female, Humans, Male, Middle Aged, Patient Positioning, Prone Position, Prospective Studies, Supine Position, Treatment Failure, Young Adult.
Abstract
OBJECTIVE
To assess the effect of prone position on the oxygenation of patients with acute respiratory distress syndrome (ARDS) after recruitment maneuvers (RM) failure at high altitudes.
METHODS
Forty-one ARDS patients who were invalid for RM therapy at the altitude of 2260 metres area hospital were enrolled[mean oxygenation index (PaO(2)/FiO(2)) increased than RM<20% considered as RM invalid]. All were divided into acute respiratory distress syndrome (ARDSp) and extra-acute respiratory distress syndrome (ARDSexp) based on different etiology, and each group was randomly divided into the supine and the prone position group, i.e. that ARDSp prone position group (n=11), ARDSp supine group (n=9), ARDSexp prone position group (n=10), and ARDSexp supine group (n=11). Before ventilation and 1, 2, 3, 4 hours after ventilation, arterial partial pressure of oxygen (PaO(2)), PaO(2)/FiO(2), static lung compliance (Cst), airway resistance (Raw) were monitored.
RESULTS
One hour after ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher than before ventilation (157.4±40.6 mm Hg vs. 129.3±48.7 mm Hg, P<0.05), and increased by ventilation time, peaked at 4 hours (219.1±41.1 mm Hg). Within 3 hours ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher compared with the other three groups, and there were no significant differences among the other three groups. PaO(2)/FiO(2) in ARDSp prone position group and ARDSexp prone position group at 4 hours of ventilation were significantly higher compared with the corresponding supine group (208.8±39.7 mm Hg vs. 127.4±47.1 mm Hg, 219.1±41.1 mm Hg vs. 124.9±50.8 mm Hg, both P<0.05). There was no statistically significant difference in Cst before and after ventilation, and there was no significant changes among the groups. Raw in ARDSp prone position group at 4 hours of ventilation were significantly reduced than before ventilation (6.8±1.7 cm H(2)O×L(-1)×s(-1) vs. 10.7±1.8 cm H(2)O×L(-1)×s(-1), P<0.05), and significantly lower than the other three groups. There was no statistically significant difference in RAW among other three groups at each time point.
CONCLUSION
Prone position can improve RM oxygenation invalid ARDS patients at high altitudes.
PubMed: 23040775
Affiliations:
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Jian Bin" sort="Meng, Jian Bin" uniqKey="Meng J" first="Jian-Bin" last="Meng">Jian-Bin Meng</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23040775</idno><idno type="pmid">23040775</idno><idno type="wicri:Area/Main/Corpus">000272</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000272</idno><idno type="wicri:Area/Main/Curation">000272</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000272</idno><idno type="wicri:Area/Main/Exploration">000272</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Effect of prone position on the oxygenation of patients with acute respiratory distress syndrome after failure recruitment maneuvers at high altitudes].</title><author><name sortKey="Wang, Wen Xin" sort="Wang, Wen Xin" uniqKey="Wang W" first="Wen-Xin" last="Wang">Wen-Xin Wang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Intensive Care Unit, Qinghai Red Cross Hospital, Qinghai, China. wangwenxindongying@163.com</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Intensive Care Unit, Qinghai Red Cross Hospital, Qinghai</wicri:regionArea><wicri:noRegion>Qinghai</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Bo" sort="Xu, Bo" uniqKey="Xu B" first="Bo" last="Xu">Bo Xu</name></author><author><name sortKey="Ma, Hu Sai" sort="Ma, Hu Sai" uniqKey="Ma H" first="Hu-Sai" last="Ma">Hu-Sai Ma</name></author><author><name sortKey="Meng, Jian Bin" sort="Meng, Jian Bin" uniqKey="Meng J" first="Jian-Bin" last="Meng">Jian-Bin Meng</name></author></analytic><series><title level="j">Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue</title><idno type="ISSN">1003-0603</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Altitude (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Oxygen (metabolism)</term><term>Patient Positioning (MeSH)</term><term>Prone Position (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Respiration, Artificial (methods)</term><term>Respiratory Distress Syndrome, Adult (etiology)</term><term>Respiratory Distress Syndrome, Adult (metabolism)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term><term>Supine Position (MeSH)</term><term>Treatment Failure (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Altitude (MeSH)</term><term>Décubitus dorsal (MeSH)</term><term>Décubitus ventral (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Oxygène (métabolisme)</term><term>Positionnement du patient (MeSH)</term><term>Syndrome de détresse respiratoire de l'adulte (métabolisme)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Syndrome de détresse respiratoire de l'adulte (étiologie)</term><term>Ventilation artificielle (méthodes)</term><term>Échec thérapeutique (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Oxygen</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Oxygène</term><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>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" qualifier="étiologie" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Altitude</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Positioning</term><term>Prone Position</term><term>Prospective Studies</term><term>Supine Position</term><term>Treatment Failure</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Altitude</term><term>Décubitus dorsal</term><term>Décubitus ventral</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Positionnement du patient</term><term>Échec thérapeutique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the effect of prone position on the oxygenation of patients with acute respiratory distress syndrome (ARDS) after recruitment maneuvers (RM) failure at high altitudes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Forty-one ARDS patients who were invalid for RM therapy at the altitude of 2260 metres area hospital were enrolled[mean oxygenation index (PaO(2)/FiO(2)) increased than RM<20% considered as RM invalid]. All were divided into acute respiratory distress syndrome (ARDSp) and extra-acute respiratory distress syndrome (ARDSexp) based on different etiology, and each group was randomly divided into the supine and the prone position group, i.e. that ARDSp prone position group (n=11), ARDSp supine group (n=9), ARDSexp prone position group (n=10), and ARDSexp supine group (n=11). Before ventilation and 1, 2, 3, 4 hours after ventilation, arterial partial pressure of oxygen (PaO(2)), PaO(2)/FiO(2), static lung compliance (Cst), airway resistance (Raw) were monitored.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>One hour after ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher than before ventilation (157.4±40.6 mm Hg vs. 129.3±48.7 mm Hg, P<0.05), and increased by ventilation time, peaked at 4 hours (219.1±41.1 mm Hg). Within 3 hours ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher compared with the other three groups, and there were no significant differences among the other three groups. PaO(2)/FiO(2) in ARDSp prone position group and ARDSexp prone position group at 4 hours of ventilation were significantly higher compared with the corresponding supine group (208.8±39.7 mm Hg vs. 127.4±47.1 mm Hg, 219.1±41.1 mm Hg vs. 124.9±50.8 mm Hg, both P<0.05). There was no statistically significant difference in Cst before and after ventilation, and there was no significant changes among the groups. Raw in ARDSp prone position group at 4 hours of ventilation were significantly reduced than before ventilation (6.8±1.7 cm H(2)O×L(-1)×s(-1) vs. 10.7±1.8 cm H(2)O×L(-1)×s(-1), P<0.05), and significantly lower than the other three groups. There was no statistically significant difference in RAW among other three groups at each time point.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Prone position can improve RM oxygenation invalid ARDS patients at high altitudes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23040775</PMID><DateCompleted><Year>2013</Year><Month>08</Month><Day>01</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1003-0603</ISSN><JournalIssue CitedMedium="Print"><Volume>24</Volume><Issue>10</Issue><PubDate><Year>2012</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue</Title></Journal><ArticleTitle>[Effect of prone position on the oxygenation of patients with acute respiratory distress syndrome after failure recruitment maneuvers at high altitudes].</ArticleTitle><Pagination><MedlinePgn>596-9</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the effect of prone position on the oxygenation of patients with acute respiratory distress syndrome (ARDS) after recruitment maneuvers (RM) failure at high altitudes.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Forty-one ARDS patients who were invalid for RM therapy at the altitude of 2260 metres area hospital were enrolled[mean oxygenation index (PaO(2)/FiO(2)) increased than RM<20% considered as RM invalid]. All were divided into acute respiratory distress syndrome (ARDSp) and extra-acute respiratory distress syndrome (ARDSexp) based on different etiology, and each group was randomly divided into the supine and the prone position group, i.e. that ARDSp prone position group (n=11), ARDSp supine group (n=9), ARDSexp prone position group (n=10), and ARDSexp supine group (n=11). Before ventilation and 1, 2, 3, 4 hours after ventilation, arterial partial pressure of oxygen (PaO(2)), PaO(2)/FiO(2), static lung compliance (Cst), airway resistance (Raw) were monitored.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hour after ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher than before ventilation (157.4±40.6 mm Hg vs. 129.3±48.7 mm Hg, P<0.05), and increased by ventilation time, peaked at 4 hours (219.1±41.1 mm Hg). Within 3 hours ventilation in ARDSexp prone position group, PaO(2)/FiO(2) was significantly higher compared with the other three groups, and there were no significant differences among the other three groups. PaO(2)/FiO(2) in ARDSp prone position group and ARDSexp prone position group at 4 hours of ventilation were significantly higher compared with the corresponding supine group (208.8±39.7 mm Hg vs. 127.4±47.1 mm Hg, 219.1±41.1 mm Hg vs. 124.9±50.8 mm Hg, both P<0.05). There was no statistically significant difference in Cst before and after ventilation, and there was no significant changes among the groups. Raw in ARDSp prone position group at 4 hours of ventilation were significantly reduced than before ventilation (6.8±1.7 cm H(2)O×L(-1)×s(-1) vs. 10.7±1.8 cm H(2)O×L(-1)×s(-1), P<0.05), and significantly lower than the other three groups. There was no statistically significant difference in RAW among other three groups at each time point.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Prone position can improve RM oxygenation invalid ARDS patients at high altitudes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Wen-xin</ForeName><Initials>WX</Initials><AffiliationInfo><Affiliation>Department of Intensive Care Unit, Qinghai Red Cross Hospital, Qinghai, China. wangwenxindongying@163.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Bo</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Ma</LastName><ForeName>Hu-sai</ForeName><Initials>HS</Initials></Author><Author ValidYN="Y"><LastName>Meng</LastName><ForeName>Jian-bin</ForeName><Initials>JB</Initials></Author></AuthorList><Language>chi</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Zhongguo Wei Zhong Bing Ji Jiu Yi Xue</MedlineTA><NlmUniqueID>9887521</NlmUniqueID><ISSNLinking>1003-0603</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>S88TT14065</RegistryNumber><NameOfSubstance UI="D010100">Oxygen</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000531" MajorTopicYN="N">Altitude</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010100" MajorTopicYN="N">Oxygen</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D056888" MajorTopicYN="Y">Patient Positioning</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="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="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016683" MajorTopicYN="N">Supine Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017211" MajorTopicYN="N">Treatment Failure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23040775</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><noCountry><name sortKey="Ma, Hu Sai" sort="Ma, Hu Sai" uniqKey="Ma H" first="Hu-Sai" last="Ma">Hu-Sai Ma</name><name sortKey="Meng, Jian Bin" sort="Meng, Jian Bin" uniqKey="Meng J" first="Jian-Bin" last="Meng">Jian-Bin Meng</name><name sortKey="Xu, Bo" sort="Xu, Bo" uniqKey="Xu B" first="Bo" last="Xu">Bo Xu</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Wang, Wen Xin" sort="Wang, Wen Xin" uniqKey="Wang W" first="Wen-Xin" last="Wang">Wen-Xin Wang</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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