Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit?
Identifieur interne : 000387 ( Main/Exploration ); précédent : 000386; suivant : 000388Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit?
Auteurs : David F. Treacher [Royaume-Uni]Source :
- Clinical science (London, England : 1979) [ 0143-5221 ] ; 2006.
Descripteurs français
- KwdFr :
- Décubitus ventral (MeSH), Gazométrie sanguine (MeSH), Humains (MeSH), Mesure des volumes pulmonaires (MeSH), Mécanique respiratoire (MeSH), Poumon (physiopathologie), Syndrome de détresse respiratoire de l'adulte (métabolisme), Syndrome de détresse respiratoire de l'adulte (physiopathologie), Syndrome de détresse respiratoire de l'adulte (thérapie), Ventilation à pression positive (MeSH), Échanges gazeux pulmonaires (MeSH), Études d'évaluation comme sujet (MeSH).
- MESH :
- métabolisme : Syndrome de détresse respiratoire de l'adulte.
- physiopathologie : Poumon, Syndrome de détresse respiratoire de l'adulte.
- thérapie : Syndrome de détresse respiratoire de l'adulte.
- Décubitus ventral, Gazométrie sanguine, Humains, Mesure des volumes pulmonaires, Mécanique respiratoire, Ventilation à pression positive, Échanges gazeux pulmonaires, Études d'évaluation comme sujet.
English descriptors
- KwdEn :
- Blood Gas Analysis (MeSH), Evaluation Studies as Topic (MeSH), Humans (MeSH), Lung (physiopathology), Lung Volume Measurements (MeSH), Positive-Pressure Respiration (MeSH), Prone Position (MeSH), Pulmonary Gas Exchange (MeSH), Respiratory Distress Syndrome, Adult (metabolism), Respiratory Distress Syndrome, Adult (physiopathology), Respiratory Distress Syndrome, Adult (therapy), Respiratory Mechanics (MeSH).
- MESH :
- metabolism : Respiratory Distress Syndrome, Adult.
- physiopathology : Lung, Respiratory Distress Syndrome, Adult.
- therapy : Respiratory Distress Syndrome, Adult.
- Blood Gas Analysis, Evaluation Studies as Topic, Humans, Lung Volume Measurements, Positive-Pressure Respiration, Prone Position, Pulmonary Gas Exchange, Respiratory Mechanics.
Abstract
Prone positioning of patients with acute respiratory failure was first suggested over 30 years ago. In the present issue of Clinical Science, Reutershan and co-workers have studied the changes in end-expiratory lung volume in 12 patients with ARDS (acute respiratory distress syndrome) over an 8 h period following manual turning from the supine to prone position. From the data presented, the authors suggest that baseline end-expiratory lung volume could be used to identify responders, and serial measurements would permit appropriate 'dosing' of the therapy. Although this is an interesting study that provides data that have rarely been collected when assessing the response to prone positioning, there are a number of limitations that need to be considered. However, despite the limitations, the study does stimulate a number of important questions related not only to the use of the prone position, but also to the management of patients with ARDS in general.
DOI: 10.1042/CS20060068
PubMed: 16603026
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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In the present issue of Clinical Science, Reutershan and co-workers have studied the changes in end-expiratory lung volume in 12 patients with ARDS (acute respiratory distress syndrome) over an 8 h period following manual turning from the supine to prone position. From the data presented, the authors suggest that baseline end-expiratory lung volume could be used to identify responders, and serial measurements would permit appropriate 'dosing' of the therapy. Although this is an interesting study that provides data that have rarely been collected when assessing the response to prone positioning, there are a number of limitations that need to be considered. However, despite the limitations, the study does stimulate a number of important questions related not only to the use of the prone position, but also to the management of patients with ARDS in general.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16603026</PMID><DateCompleted><Year>2006</Year><Month>08</Month><Day>04</Day></DateCompleted><DateRevised><Year>2007</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0143-5221</ISSN><JournalIssue CitedMedium="Print"><Volume>110</Volume><Issue>6</Issue><PubDate><Year>2006</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Clinical science (London, England : 1979)</Title></Journal><ArticleTitle>Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit?</ArticleTitle><Pagination><MedlinePgn>641-3</MedlinePgn></Pagination><Abstract><AbstractText>Prone positioning of patients with acute respiratory failure was first suggested over 30 years ago. In the present issue of Clinical Science, Reutershan and co-workers have studied the changes in end-expiratory lung volume in 12 patients with ARDS (acute respiratory distress syndrome) over an 8 h period following manual turning from the supine to prone position. From the data presented, the authors suggest that baseline end-expiratory lung volume could be used to identify responders, and serial measurements would permit appropriate 'dosing' of the therapy. Although this is an interesting study that provides data that have rarely been collected when assessing the response to prone positioning, there are a number of limitations that need to be considered. However, despite the limitations, the study does stimulate a number of important questions related not only to the use of the prone position, but also to the management of patients with ARDS in general.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Treacher</LastName><ForeName>David F</ForeName><Initials>DF</Initials><AffiliationInfo><Affiliation>Department of Intensive Care, St Thomas' Hospital, Guy's & St Thomas' NHS Trust, Lambeth Palace Road, London SE1 7EH, UK. David.Treacher@gstt.nhs.uk</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016420">Comment</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Sci (Lond)</MedlineTA><NlmUniqueID>7905731</NlmUniqueID><ISSNLinking>0143-5221</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentOn"><RefSource>Clin Sci (Lond). 2006 Jun;110(6):655-63</RefSource><PMID Version="1">16451123</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001784" MajorTopicYN="N">Blood Gas Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005069" MajorTopicYN="N">Evaluation Studies as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008176" MajorTopicYN="N">Lung Volume Measurements</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011175" MajorTopicYN="N">Positive-Pressure Respiration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</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="Q000378" MajorTopicYN="N">metabolism</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015656" MajorTopicYN="N">Respiratory Mechanics</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>4</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>8</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>4</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16603026</ArticleId><ArticleId IdType="pii">CS20060068</ArticleId><ArticleId IdType="doi">10.1042/CS20060068</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Treacher, David F" sort="Treacher, David F" uniqKey="Treacher D" first="David F" last="Treacher">David F. 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