Prone positioning in patients with acute respiratory distress syndrome.
Identifieur interne : 000511 ( Main/Exploration ); précédent : 000510; suivant : 000512Prone positioning in patients with acute respiratory distress syndrome.
Auteurs : Gemma Rialp [Espagne] ; Jordi ManceboSource :
- Respiratory care clinics of North America [ 1078-5337 ] ; 2002.
Descripteurs français
- KwdFr :
- Animaux (MeSH), Décubitus ventral (MeSH), Essais cliniques comme sujet (MeSH), Humains (MeSH), Insuffisance respiratoire (thérapie), Mécanique respiratoire (physiologie), Oxygénothérapie (méthodes), Résultat thérapeutique (MeSH), Syndrome de détresse respiratoire de l'adulte (thérapie), Ventilation artificielle (méthodes), Ventilation à pression positive (MeSH), Échanges gazeux pulmonaires (physiologie).
- MESH :
- méthodes : Oxygénothérapie, Ventilation artificielle.
- physiologie : Mécanique respiratoire, Échanges gazeux pulmonaires.
- thérapie : Insuffisance respiratoire, Syndrome de détresse respiratoire de l'adulte.
- Animaux, Décubitus ventral, Essais cliniques comme sujet, Humains, Résultat thérapeutique, Ventilation à pression positive.
English descriptors
- KwdEn :
- Animals (MeSH), Clinical Trials as Topic (MeSH), Humans (MeSH), Oxygen Inhalation Therapy (methods), Positive-Pressure Respiration (MeSH), Prone Position (MeSH), Pulmonary Gas Exchange (physiology), Respiration, Artificial (methods), Respiratory Distress Syndrome, Adult (therapy), Respiratory Insufficiency (therapy), Respiratory Mechanics (physiology), Treatment Outcome (MeSH).
- MESH :
- methods : Oxygen Inhalation Therapy, Respiration, Artificial.
- physiology : Pulmonary Gas Exchange, Respiratory Mechanics.
- therapy : Respiratory Distress Syndrome, Adult, Respiratory Insufficiency.
- Animals, Clinical Trials as Topic, Humans, Positive-Pressure Respiration, Prone Position, Treatment Outcome.
Abstract
Acute respiratory distress syndrome (ARDS) is a severe form of respiratory failure that is characterized by marked hypoxemia, bilateral infiltrates on chest radiograph, and no clinical evidence of left ventricular failure. Mechanical ventilation with positive end-expiratory pressure (PEEP) is a cornerstone therapy for ARDS patients. Because the fundamental aim of supportive treatment is to improve arterial oxygenation, several alternatives to mechanical ventilation with PEEP have been used. One of these alternative therapies is prone positioning, which has been used safely to improve oxygenation in many patients with ARDS. Despite encouraging results, however, the use of prone positioning is not widely accepted as an adjunct to therapy in hypoxemic patients because, aside from temporarily improving gas exchange, it does not seem to affect the outcome of these patients. This article reviews the rationale for using prone positioning in ARDS patients who require intubation and mechanical ventilation.
DOI: 10.1016/s1078-5337(02)00005-9
PubMed: 12481817
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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sujet</term><term>Humains</term><term>Résultat thérapeutique</term><term>Ventilation à pression positive</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Acute respiratory distress syndrome (ARDS) is a severe form of respiratory failure that is characterized by marked hypoxemia, bilateral infiltrates on chest radiograph, and no clinical evidence of left ventricular failure. Mechanical ventilation with positive end-expiratory pressure (PEEP) is a cornerstone therapy for ARDS patients. Because the fundamental aim of supportive treatment is to improve arterial oxygenation, several alternatives to mechanical ventilation with PEEP have been used. One of these alternative therapies is prone positioning, which has been used safely to improve oxygenation in many patients with ARDS. Despite encouraging results, however, the use of prone positioning is not widely accepted as an adjunct to therapy in hypoxemic patients because, aside from temporarily improving gas exchange, it does not seem to affect the outcome of these patients. This article reviews the rationale for using prone positioning in ARDS patients who require intubation and mechanical ventilation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">12481817</PMID><DateCompleted><Year>2003</Year><Month>01</Month><Day>03</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1078-5337</ISSN><JournalIssue CitedMedium="Print"><Volume>8</Volume><Issue>2</Issue><PubDate><Year>2002</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Respiratory care clinics of North America</Title></Journal><ArticleTitle>Prone positioning in patients with acute respiratory distress syndrome.</ArticleTitle><Pagination><MedlinePgn>237-45, vi-vii</MedlinePgn></Pagination><Abstract><AbstractText>Acute respiratory distress syndrome (ARDS) is a severe form of respiratory failure that is characterized by marked hypoxemia, bilateral infiltrates on chest radiograph, and no clinical evidence of left ventricular failure. Mechanical ventilation with positive end-expiratory pressure (PEEP) is a cornerstone therapy for ARDS patients. Because the fundamental aim of supportive treatment is to improve arterial oxygenation, several alternatives to mechanical ventilation with PEEP have been used. One of these alternative therapies is prone positioning, which has been used safely to improve oxygenation in many patients with ARDS. Despite encouraging results, however, the use of prone positioning is not widely accepted as an adjunct to therapy in hypoxemic patients because, aside from temporarily improving gas exchange, it does not seem to affect the outcome of these patients. This article reviews the rationale for using prone positioning in ARDS patients who require intubation and mechanical ventilation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rialp</LastName><ForeName>Gemma</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Servei Medicina Intensiva, Complex Hospitalari de Mallorca, Palça de l'Hospital 3, 07012 Palma de Mallorca, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mancebo</LastName><ForeName>Jordi</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Respir Care Clin N Am</MedlineTA><NlmUniqueID>9612026</NlmUniqueID><ISSNLinking>1078-5337</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002986" MajorTopicYN="N">Clinical Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010102" MajorTopicYN="N">Oxygen Inhalation Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></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><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></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="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012131" MajorTopicYN="N">Respiratory Insufficiency</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015656" MajorTopicYN="N">Respiratory Mechanics</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>34</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2002</Year><Month>12</Month><Day>17</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2003</Year><Month>1</Month><Day>7</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2002</Year><Month>12</Month><Day>17</Day><Hour>4</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">12481817</ArticleId><ArticleId IdType="pii">S1078-5337(02)00005-9</ArticleId><ArticleId IdType="doi">10.1016/s1078-5337(02)00005-9</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Îles Baléares</li></region></list><tree><noCountry><name sortKey="Mancebo, Jordi" sort="Mancebo, Jordi" uniqKey="Mancebo J" first="Jordi" last="Mancebo">Jordi Mancebo</name></noCountry><country name="Espagne"><region name="Îles Baléares"><name sortKey="Rialp, Gemma" sort="Rialp, Gemma" uniqKey="Rialp G" first="Gemma" last="Rialp">Gemma Rialp</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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