Airway pressure release ventilation and prone positioning in severe acute respiratory distress syndrome.
Identifieur interne : 000544 ( Main/Exploration ); précédent : 000543; suivant : 000545Airway pressure release ventilation and prone positioning in severe acute respiratory distress syndrome.
Auteurs : T. Varpula [Finlande] ; V. Pettil ; H. Nieminen ; O. TakkunenSource :
- Acta anaesthesiologica Scandinavica [ 0001-5172 ] ; 2001.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
BACKGROUND
Implementation of lung protective strategy in the treatment of severe Acute Respiratory Distress Syndrome (ARDS) has been reported to be associated with improved outcome. To fulfil this approach, sedation, neuromuscular blocking agents and full mechanical ventilatory support are often used in critical failure of gas exchange.
CASE REPORT
We present a patient who developed multiple organ failure, including severe ARDS, after severe skin injuries and septic shock. Ventilatory strategy consisted of lung protective approach, permissive hypercapnia and prone positioning. Airway pressure release ventilation (APRV) with the patient's superimposed spontaneous breathing was implemented and maintained, also during prone episodes. Improvement of gas exhange occurred after application of combined use of APRV and prone positioning.
CONCLUSION
APRV and maintenance of patients' spontaneous ventilation is feasible during prone positioning, and this approach may have beneficial synergistic effects on gas exhange in patients with severe acute lung injury.
DOI: 10.1034/j.1399-6576.2001.045003340.x
PubMed: 11207471
Affiliations:
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Le document en format XML
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Nieminen</name></author><author><name sortKey="Takkunen, O" sort="Takkunen, O" uniqKey="Takkunen O" first="O" last="Takkunen">O. Takkunen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2001">2001</date><idno type="RBID">pubmed:11207471</idno><idno type="pmid">11207471</idno><idno type="doi">10.1034/j.1399-6576.2001.045003340.x</idno><idno type="wicri:Area/Main/Corpus">000550</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000550</idno><idno type="wicri:Area/Main/Curation">000550</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000550</idno><idno type="wicri:Area/Main/Exploration">000550</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Airway pressure release ventilation and prone positioning in severe acute respiratory distress syndrome.</title><author><name sortKey="Varpula, T" sort="Varpula, T" uniqKey="Varpula T" first="T" last="Varpula">T. Varpula</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia, Helsinki University Hospital, Finland. tero.varpula@hus.fi</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Anaesthesia, Helsinki University Hospital</wicri:regionArea><wicri:noRegion>Helsinki University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Pettil, V" sort="Pettil, V" uniqKey="Pettil V" first="V" last="Pettil">V. Pettil</name></author><author><name sortKey="Nieminen, H" sort="Nieminen, H" uniqKey="Nieminen H" first="H" last="Nieminen">H. Nieminen</name></author><author><name sortKey="Takkunen, O" sort="Takkunen, O" uniqKey="Takkunen O" first="O" last="Takkunen">O. Takkunen</name></author></analytic><series><title level="j">Acta anaesthesiologica Scandinavica</title><idno type="ISSN">0001-5172</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Pressure (MeSH)</term><term>Prone Position (MeSH)</term><term>Respiration, Artificial (MeSH)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Décubitus ventral (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Pression (MeSH)</term><term>Syndrome de détresse respiratoire de l'adulte (thérapie)</term><term>Ventilation artificielle (MeSH)</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>Adolescent</term><term>Humans</term><term>Male</term><term>Pressure</term><term>Prone Position</term><term>Respiration, Artificial</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Décubitus ventral</term><term>Humains</term><term>Mâle</term><term>Pression</term><term>Ventilation artificielle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Implementation of lung protective strategy in the treatment of severe Acute Respiratory Distress Syndrome (ARDS) has been reported to be associated with improved outcome. To fulfil this approach, sedation, neuromuscular blocking agents and full mechanical ventilatory support are often used in critical failure of gas exchange.</p></div><div type="abstract" xml:lang="en"><p><b>CASE REPORT</b></p><p>We present a patient who developed multiple organ failure, including severe ARDS, after severe skin injuries and septic shock. Ventilatory strategy consisted of lung protective approach, permissive hypercapnia and prone positioning. Airway pressure release ventilation (APRV) with the patient's superimposed spontaneous breathing was implemented and maintained, also during prone episodes. Improvement of gas exhange occurred after application of combined use of APRV and prone positioning.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>APRV and maintenance of patients' spontaneous ventilation is feasible during prone positioning, and this approach may have beneficial synergistic effects on gas exhange in patients with severe acute lung injury.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11207471</PMID><DateCompleted><Year>2001</Year><Month>06</Month><Day>07</Day></DateCompleted><DateRevised><Year>2019</Year><Month>08</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0001-5172</ISSN><JournalIssue CitedMedium="Print"><Volume>45</Volume><Issue>3</Issue><PubDate><Year>2001</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Acta anaesthesiologica Scandinavica</Title></Journal><ArticleTitle>Airway pressure release ventilation and prone positioning in severe acute respiratory distress syndrome.</ArticleTitle><Pagination><MedlinePgn>340-4</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Implementation of lung protective strategy in the treatment of severe Acute Respiratory Distress Syndrome (ARDS) has been reported to be associated with improved outcome. To fulfil this approach, sedation, neuromuscular blocking agents and full mechanical ventilatory support are often used in critical failure of gas exchange.</AbstractText><AbstractText Label="CASE REPORT" NlmCategory="METHODS">We present a patient who developed multiple organ failure, including severe ARDS, after severe skin injuries and septic shock. Ventilatory strategy consisted of lung protective approach, permissive hypercapnia and prone positioning. Airway pressure release ventilation (APRV) with the patient's superimposed spontaneous breathing was implemented and maintained, also during prone episodes. Improvement of gas exhange occurred after application of combined use of APRV and prone positioning.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">APRV and maintenance of patients' spontaneous ventilation is feasible during prone positioning, and this approach may have beneficial synergistic effects on gas exhange in patients with severe acute lung injury.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Varpula</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Anaesthesia, Helsinki University Hospital, Finland. tero.varpula@hus.fi</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pettilä</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Nieminen</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Takkunen</LastName><ForeName>O</ForeName><Initials>O</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Anaesthesiol Scand</MedlineTA><NlmUniqueID>0370270</NlmUniqueID><ISSNLinking>0001-5172</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011312" MajorTopicYN="N">Pressure</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016684" MajorTopicYN="Y">Prone Position</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012121" MajorTopicYN="Y">Respiration, Artificial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012128" MajorTopicYN="N">Respiratory Distress Syndrome, Adult</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2001</Year><Month>2</Month><Day>24</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>6</Month><Day>8</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2001</Year><Month>2</Month><Day>24</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11207471</ArticleId><ArticleId IdType="pii">aas450311</ArticleId><ArticleId IdType="doi">10.1034/j.1399-6576.2001.045003340.x</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Finlande</li></country></list><tree><noCountry><name sortKey="Nieminen, H" sort="Nieminen, H" uniqKey="Nieminen H" first="H" last="Nieminen">H. Nieminen</name><name sortKey="Pettil, V" sort="Pettil, V" uniqKey="Pettil V" first="V" last="Pettil">V. Pettil</name><name sortKey="Takkunen, O" sort="Takkunen, O" uniqKey="Takkunen O" first="O" last="Takkunen">O. Takkunen</name></noCountry><country name="Finlande"><noRegion><name sortKey="Varpula, T" sort="Varpula, T" uniqKey="Varpula T" first="T" last="Varpula">T. Varpula</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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