Acute Respiratory Distress in the Operating Room and Prone Ventilation: A Case Report

A&A Practice
Vishal YajnikChrista Riley

Abstract

There have been many advances in the management of acute respiratory distress syndrome, a condition which Bellani et al, in the LUNG SAFE trial (Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure), found represents up to 10.4% of intensive care unit admissions and 23.4% of patients requiring mechanical ventilation, with an unadjusted intensive care unit and hospital mortality of 35.3% and 40%, respectively. Studies have shown that prone positioning can improve oxygenation in patients who are mechanically ventilated for acute respiratory distress syndrome. This case report describes an example in which intraoperative prone positioning improved oxygenation in a patient after aspiration of gastric contents on induction of general anesthesia.

References

Jan 26, 2013·American Journal of Respiratory and Critical Care Medicine·Rodrigo A CornejoGonzalo L Pereira
May 22, 2013·The New England Journal of Medicine·Claude GuérinUNKNOWN PROSEVA Study Group
May 23, 2015·Respirology : Official Journal of the Asian Pacific Society of Respirology·Francisco SanzJosé Blanquer
Feb 3, 2016·Chest·Samuel M BrownUNKNOWN NIH/NHLBI PETAL Network Collaborators
Feb 24, 2016·JAMA : the Journal of the American Medical Association·Giacomo BellaniUNKNOWN ESICM Trials Group
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May 2, 2017·American Journal of Respiratory and Critical Care Medicine·Eddy FanUNKNOWN American Thoracic Society, European Society of Intensive Care Medicine, and Society of Critical Care Medicine

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Citations

Jul 1, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Daniel S CormicanHarish Ramakrishna

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