Prone positioning in acute respiratory distress syndrome (ARDS): when and how?
Identifieur interne : 000297 ( Main/Exploration ); précédent : 000296; suivant : 000298Prone positioning in acute respiratory distress syndrome (ARDS): when and how?
Auteurs : Ferran Roche-Campo [Espagne] ; Hernan Aguirre-Bermeo ; Jordi ManceboSource :
- Presse medicale (Paris, France : 1983) [ 2213-0276 ] ; 2011.
Descripteurs français
- KwdFr :
- Algorithmes (MeSH), Coeur (physiologie), Décubitus ventral (physiologie), Essais cliniques comme sujet (MeSH), Facteurs temps (MeSH), Humains (MeSH), Muscle diaphragme (physiologie), Positionnement du patient (méthodes), Positionnement du patient (statistiques et données numériques), Poumon (physiologie), Pression (effets indésirables), Syndrome de détresse respiratoire de l'adulte (physiopathologie), Syndrome de détresse respiratoire de l'adulte (thérapie), Échanges gazeux pulmonaires (physiologie).
- MESH :
- effets indésirables : Pression.
- méthodes : Positionnement du patient.
- physiologie : Coeur, Décubitus ventral, Muscle diaphragme, Poumon, Échanges gazeux pulmonaires.
- physiopathologie : Syndrome de détresse respiratoire de l'adulte.
- statistiques et données numériques : Positionnement du patient.
- thérapie : Syndrome de détresse respiratoire de l'adulte.
- Algorithmes, Essais cliniques comme sujet, Facteurs temps, Humains.
English descriptors
- KwdEn :
- Algorithms (MeSH), Clinical Trials as Topic (MeSH), Diaphragm (physiology), Heart (physiology), Humans (MeSH), Lung (physiology), Patient Positioning (methods), Patient Positioning (statistics & numerical data), Pressure (adverse effects), Prone Position (physiology), Pulmonary Gas Exchange (physiology), Respiratory Distress Syndrome, Adult (physiopathology), Respiratory Distress Syndrome, Adult (therapy), Time Factors (MeSH).
- MESH :
- adverse effects : Pressure.
- methods : Patient Positioning.
- physiology : Diaphragm, Heart, Lung, Prone Position, Pulmonary Gas Exchange.
- physiopathology : Respiratory Distress Syndrome, Adult.
- statistics & numerical data : Patient Positioning.
- therapy : Respiratory Distress Syndrome, Adult.
- Algorithms, Clinical Trials as Topic, Humans, Time Factors.
Abstract
Acute respiratory distress syndrome (ARDS) is a severe form of respiratory failure. It remains one of the most devastating conditions in the intensive care unit. Mechanical ventilation with positive end-expiratory pressure is a cornerstone therapy for ARDS patients. One adjuvant alternative is to place the patient in a prone position. Since it was first described in 1976, prone positioning has been safely employed to improve oxygenation in many patients with ARDS. Prone positioning may also minimize secondary lung injury induced by mechanical ventilation, although this benefit has not been investigated as extensively, despite its potential. In spite of a strong physiological justification, prone positioning is still not widely accepted as an adjunct therapy in ARDS patients and it is only used regularly in only 10% of ICUs. This may be explained in part by the reluctance to change position, risks and unclear effects on relevant outcomes. In this paper, we review all aspects of prone positioning, from the pathophysiology to the clinical studies of patient outcome, and we also discuss the latest controversies surrounding this treatment.
DOI: 10.1016/j.lpm.2011.03.019
PubMed: 22078089
Affiliations:
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xml:lang="en"><term>Diaphragm</term><term>Heart</term><term>Lung</term><term>Prone Position</term><term>Pulmonary Gas Exchange</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Positioning</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Positionnement du patient</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>Algorithms</term><term>Clinical Trials as 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It remains one of the most devastating conditions in the intensive care unit. Mechanical ventilation with positive end-expiratory pressure is a cornerstone therapy for ARDS patients. One adjuvant alternative is to place the patient in a prone position. Since it was first described in 1976, prone positioning has been safely employed to improve oxygenation in many patients with ARDS. Prone positioning may also minimize secondary lung injury induced by mechanical ventilation, although this benefit has not been investigated as extensively, despite its potential. In spite of a strong physiological justification, prone positioning is still not widely accepted as an adjunct therapy in ARDS patients and it is only used regularly in only 10% of ICUs. This may be explained in part by the reluctance to change position, risks and unclear effects on relevant outcomes. In this paper, we review all aspects of prone positioning, from the pathophysiology to the clinical studies of patient outcome, and we also discuss the latest controversies surrounding this treatment.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22078089</PMID><DateCompleted><Year>2012</Year><Month>01</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2213-0276</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>12 Pt 2</Issue><PubDate><Year>2011</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Presse medicale (Paris, France : 1983)</Title></Journal><ArticleTitle>Prone positioning in acute respiratory distress syndrome (ARDS): when and how?</ArticleTitle><Pagination><MedlinePgn>e585-94</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.lpm.2011.03.019</ELocationID><Abstract><AbstractText>Acute respiratory distress syndrome (ARDS) is a severe form of respiratory failure. It remains one of the most devastating conditions in the intensive care unit. Mechanical ventilation with positive end-expiratory pressure is a cornerstone therapy for ARDS patients. One adjuvant alternative is to place the patient in a prone position. Since it was first described in 1976, prone positioning has been safely employed to improve oxygenation in many patients with ARDS. Prone positioning may also minimize secondary lung injury induced by mechanical ventilation, although this benefit has not been investigated as extensively, despite its potential. In spite of a strong physiological justification, prone positioning is still not widely accepted as an adjunct therapy in ARDS patients and it is only used regularly in only 10% of ICUs. This may be explained in part by the reluctance to change position, risks and unclear effects on relevant outcomes. In this paper, we review all aspects of prone positioning, from the pathophysiology to the clinical studies of patient outcome, and we also discuss the latest controversies surrounding this treatment.</AbstractText><CopyrightInformation>Copyright © 2011 Elsevier Masson SAS. 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