Prone position augments recruitment and prevents alveolar overinflation in acute lung injury

American Journal of Respiratory and Critical Care Medicine
Eftichia GaliatsouGeorgios Nakos

Abstract

Mechanical ventilation in the prone position may be an effective means of recruiting nonaerated alveolar units and minimizing ventilation-induced lung injury. To evaluate and quantify regional lung volume alterations when patients with lobar or diffuse acute lung injury (ALI) were turned prone after a recruitment maneuver. In 21 patients with ALI, a recruitment maneuver was applied in the supine position followed by a multislice spiral computed tomography (CT) scan; then, patients were turned prone and a second CT scan was performed. Both the recruitment maneuver and prone position resulted in improved oxygenation in patients with lobar ALI. Prone position also resulted in increased respiratory system compliance and decreased Pa(CO(2)) in lobar ALI. In lobar ALI, the proportion of overinflated and nonaerated areas declined, whereas the proportion of well-aerated areas increased in the prone position. The decrease in overinflated areas was observed mainly in the ventral areas. The dorsal regions showed a decrease in nonaerated areas and an increase in well-aerated areas. Recruitment maneuver and prone position improved oxygenation but had no effect either on Pa(CO(2)) or on the respiratory system compliance of patients with diff...Continue Reading

Associated Clinical Trials

References

Jul 1, 1986·Journal of Thoracic Imaging·L GattinoniG Cappelletti
Sep 1, 1987·The American Review of Respiratory Disease·L GattinoniM Bombino
Jul 1, 1985·The Journal of Computed Tomography·W F TatuG M Senofsky
Dec 1, 1973·The British Journal of Radiology·G N Hounsfield
Feb 5, 1998·The New England Journal of Medicine·M B AmatoC R Carvalho
Jun 25, 1998·American Journal of Respiratory and Critical Care Medicine·M MureM P Hlastala
Jul 3, 1999·American Journal of Respiratory and Critical Care Medicine·M A MartynowiczR D Hubmayr
Mar 9, 2000·Critical Care Medicine·A BroccardJ J Marini
May 12, 2000·American Journal of Respiratory and Critical Care Medicine·R K Albert, R D Hubmayr
Jun 14, 2000·American Journal of Respiratory and Critical Care Medicine·N CakarA Nahum
Jun 14, 2000·American Journal of Respiratory and Critical Care Medicine·L M MalbouissonJ J Rouby
Apr 12, 2001·Journal of Applied Physiology·M A MartynowiczR D Hubmayr
Sep 1, 2001·The New England Journal of Medicine·L GattinoniUNKNOWN Prone-Supine Study Group
Nov 24, 2001·American Journal of Respiratory and Critical Care Medicine·L GattinoniL R Goodman
Apr 26, 2002·The New England Journal of Medicine·Thomas J NucktonMichael A Matthay
May 23, 2002·American Journal of Respiratory and Critical Care Medicine·Erica MesseroleRichard K Albert
Jun 19, 2002·American Journal of Respiratory and Critical Care Medicine·Rolf D Hubmayr
Nov 5, 2002·The European Respiratory Journal·P PelosiL Gattinoni
Dec 21, 2002·American Journal of Respiratory and Critical Care Medicine·Paolo PelosiLuciano Gattinoni
Apr 12, 2003·Critical Care Medicine·Jean-Jacques RoubyQin Lu
Jun 27, 2003·Anesthesiology·Jean-Jacques Rouby
Nov 8, 2003·Critical Care Medicine·Roy G BrowerUNKNOWN ARDS Clinical Trials Network, National Heart, Lung, and Blood Institute, National Institutes of Health
Dec 12, 2003·Critical Care Medicine·Marc GainnierLaurent Papazian
Dec 12, 2003·Critical Care Medicine·Luciano GattinoniUNKNOWN Prone-Supine Study Group
Dec 13, 2003·American Journal of Respiratory and Critical Care Medicine·Michael QuintelLuciano Gattinoni
Jun 29, 2004·Anesthesiology·Jean-Jacques RoubyQin Lu
Nov 18, 2004·JAMA : the Journal of the American Medical Association·Claude GuerinMichel Kaidomar
Feb 11, 2005·Intensive Care Medicine·Antoine Vieillard-BaronFrançois Jardin

❮ Previous
Next ❯

Citations

May 22, 2013·The New England Journal of Medicine·Claude GuérinUNKNOWN PROSEVA Study Group
Jul 4, 2008·Critical Care Medicine·Jean-Christophe RichardClaude Guerin
Apr 6, 2012·Dimensions of Critical Care Nursing : DCCN·Nancy L York, Christy Kane
Dec 25, 2013·Current Opinion in Critical Care·Claude Guérin
May 1, 2007·Current Opinion in Critical Care·Pietro Caironi, Luciano Gattinoni
Aug 24, 2007·American Journal of Respiratory and Critical Care Medicine·Eftichia GaliatsouGeorge Nakos
Mar 27, 2007·American Journal of Respiratory and Critical Care Medicine·Eric B MilbrandtDerek C Angus
Sep 9, 2008·American Journal of Respiratory and Critical Care Medicine·Eddy FanNiall D Ferguson
Nov 19, 2013·Critical Care : the Official Journal of the Critical Care Forum·Davide ChiumelloSilvia Coppola
Apr 21, 2010·Critical Care : the Official Journal of the Critical Care Forum·Nikolaos A ManiatisAnastasia Kotanidou
Oct 19, 2013·American Journal of Respiratory and Critical Care Medicine·Luciano GattinoniJohn J Marini
Aug 13, 2015·Intensive Care Medicine Experimental·Gustavo A Cortes-PuentesJohn J Marini
Jan 26, 2013·American Journal of Respiratory and Critical Care Medicine·Rodrigo A CornejoGonzalo L Pereira
Oct 1, 2014·Intensive Care Medicine·C GuerinJ C Richard
Aug 19, 2007·Journal of Clinical Monitoring and Computing·Vittorio AntonagliaWalter A Zin
Feb 24, 2015·Journal of Intensive Care·Shigeto OdaUNKNOWN Sepsis Registry Committee of The Japanese Society of Intensive Care Medicine
Mar 27, 2016·Critical Care Clinics·Gaurav DagarRahul S Nanchal
May 6, 2010·Chest·Adebayo EsanCurtis N Sessler
Oct 11, 2007·Chest·Antoine Vieillard-BaronFrançois Jardin
Jun 26, 2012·Respiratory Physiology & Neurobiology·A Fernandez-BustamanteB A Simon
Nov 7, 2006·Clinics in Chest Medicine·Antonio Anzueto, Kalapatha Guntapalli
Mar 1, 2016·Anaesthesia Critical Care & Pain Medicine·Antoine Monsel, Carolyn S Calfee
Feb 11, 2015·Respiratory Physiology & Neurobiology·Josefina López-AguilarLluís Blanch
May 28, 2014·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sachin SudClaude Guérin
Jul 13, 2016·Chest·Eric L ScholtenAtul Malhotra
Jul 16, 2015·Revista do Colégio Brasileiro de Cirurgiões·Cíntia Lourenço SantosAlberto Schanaider
Mar 8, 2017·Chest·Vasileios ZochiosFang Gao

❮ Previous
Next ❯

Related Concepts

Related Feeds

American Thoracic Association Journals

Discover the latest respiratory research published by the journals from the American Thoracic Society.