How safe is the prone position in acute respiratory distress syndrome at late pregnancy?

被引：28

作者：

Samanta, Sukhen ^{[1
]}

Samanta, Sujay ^{[2
]}

Wig, Jyotsna ^{[3
]}

Baronia, A. K. ^{[2
]}

机构：

[1] AIIMS, JPNA Trauma Ctr, Ctr Trauma, Dept Anesthesia & Crit Care, New Delhi 110029, India

[2] Sanjay Gandhi Postgrad Inst Med Sci, Dept Crit Care Med, Lucknow 226014, Uttar Pradesh, India

[3] Postgrad Inst Med Educ & Res, Dept Anesthesia & Intens Care, Chandigarh 160012, India

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2014年 / 32卷 / 06期

关键词：

VENTILATION; FAILURE;

D O I：

10.1016/j.ajem.2013.12.021

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We encountered a case of severe acute respiratory distress syndrome in late pregnancy due to influenza (H1N1) with refractory hypoxemia to conventional mechanical ventilation. Ventilation in prone position rescued this patient by maintaining oxygenation and sustaining improvement thereafter. Here, we discuss the mechanism of prone ventilation with special references to safety management of acute respiratory distress syndrome in the third trimester of pregnancy. It requires frequent monitoring of possible complications due to prone position and highly dedicated supporting staffs. More data are required on safety of proning in the late pregnancy.

引用

页码：687.e1 / 687.e3

页数：3

共 7 条

[1] The prone position eliminates compression of the lungs by the heart
Albert, RK
Hubmayr, RD
[J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 161 (05) : 1660 - 1665
[2] Effect of prone positioning on the survival of patients with acute respiratory failure
Gattinoni, L
Tognoni, G
Pesenti, A
Taccone, P
Mascheroni, D
Labarta, V
Malacrida, R
Di Giulio, P
Fumagalli, R
Pelosi, P
Brazzi, L
Latini, R
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (08) : 568 - 573
[3] Prone positioning for ARDS following blunt chest trauma in late pregnancy
Kenn, S.
Weber-Carstens, S.
Weizsaecker, K.
Bercker, S.
[J]. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2009, 18 (03) : 268 - 271
[4] Effects of maternal prone position on the umbilical arterial flow
Nakai, Y
Mine, M
Nishio, J
Maeda, T
Imanaka, M
Ogita, S
[J]. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1998, 77 (10) : 967 - 969
[5] USE OF EXTREME POSITION CHANGES IN ACUTE RESPIRATORY-FAILURE
PIEHL, MA
BROWN, RS
[J]. CRITICAL CARE MEDICINE, 1976, 4 (01) : 13 - 14
[6] The acute respiratory distress syndrome, mechanical ventilation, and the prone position.
Slutsky, AS
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (08) : 610 - 612
[7] Prone ventilation - it's time
Tobin, A
Kelly, W
[J]. ANAESTHESIA AND INTENSIVE CARE, 1999, 27 (02) : 194 - 201

← 1 →