The importance of prone position ventilation in ARDS for the improvement of oxygenation index
JC Lewejohann, H-J Düpree, J Gleiβ, S Lewejohann, Ekaterina Muhl, HP Bruch
Abstract
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JC Lewejohann, H-J Düpree, J Gleiβ, S Lewejohann, Ekaterina Muhl, HP Bruch
Abstract
Open-access reader
In acute respiratory distress syndrome (ARDS) change from supine (SP) to prone position can improve gas exchange by recruiting alveoli situated in dorsal dependent regions and by alteration of ventilation/perfusion ratio. The aim of this study was to investigate the effect of prone position (PP) after application of high fractional inspired oxygen (hFiO 2 ), inverse ratio ventilation (IRV), positive end exspiratory pressure (PEEP)as well as kinetic therapy (KT) and hemofiltration (HF) did not lead to a breakthrough in treatment of severe ARDS.
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In acute respiratory distress syndrome (ARDS) change from supine (SP) to prone position can improve gas exchange by recruiting alveoli situated in dorsal dependent regions and by alteration of ventilation/perfusion ratio. The aim of this study was to investigate the effect of prone position (PP) after application of high fractional inspired oxygen (hFiO 2 ), inverse ratio ventilation (IRV), positive end exspiratory pressure (PEEP)as well as kinetic therapy (KT) and hemofiltration (HF) did not lead to a breakthrough in treatment of severe ARDS.
Key concepts: ARDS, Prone position, Medicine, Supine position, Ventilation (architecture), Oxygenation, Acute respiratory distress, Oxygenation index