Should Early Prone Positioning Be a Standard of Care in ARDS With Refractory Hypoxemia?

被引：11

作者：

Marini, John J. ^{[1
,2
]}

Josephs, Sean A. ^{[3
]}

Mechlin, Maggie ^{[3
]}

Hurford, William E. ^{[3
]}

机构：

[1] Univ Minnesota, Minneapolis, MN USA

[2] Reg Hosp, Pulm & Crit Care Dept, St Paul, MN USA

[3] Univ Cincinnati, Dept Anesthesiol, Cincinnati, OH USA

来源：

RESPIRATORY CARE | 2016年 / 61卷 / 06期

关键词：

prone position; refractory hypoxemia; ARDS; mechanical ventilation; respiratory failure; secretion clearance; RESPIRATORY-DISTRESS-SYNDROME; END-EXPIRATORY PRESSURE; ACUTE LUNG INJURY; TIDAL VOLUME VENTILATION; PROTECTIVE-VENTILATION; IMPROVES OXYGENATION; MORTALITY; MECHANISM; FAILURE; TRIAL;

D O I：

10.4187/respcare.04562

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

For the past 4 decades, the prone position has been employed as an occasional rescue option for patients with severe hypoxemia unresponsive to conventional measures applied in the supine orientation. Proning offers a high likelihood of significantly improved arterial oxygenation to well selected patients, but until the results of a convincing randomized trial were published, its potential to reduce mortality risk remained in serious doubt. Proning does not benefit patients of all disease severities and stages but may be life-saving for others. Because it requires advanced nursing skills and escalation of monitoring surveillance to deploy safely, its place as an early stage standard of care depends on the definition of that label. (C) 2016 Daedalus Enterprises

引用

页码：818 / 826

页数：9

共 58 条

[1] The prone position eliminates compression of the lungs by the heart [J].

Albert, RK ;

Hubmayr, RD .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 161 (05) :1660-1665

[2] Neuromuscular blocking agents in acute respiratory distress syndrome: a systematic review and meta-analysis of randomized controlled trials [J].

Alhazzani, Waleed ;

Alshahrani, Mohamed ;

Jaeschke, Roman ;

Forel, Jean Marie ;

Papazian, Laurent ;

Sevransky, Jonathan ;

Meade, Maureen O. .

CRITICAL CARE, 2013, 17 (02)

[3] Effect of prone positioning in patients with acute respiratory distress syndrome: A meta-analysis [J].

Alsaghir, Abdullah H. ;

Martin, Claudio M. .

CRITICAL CARE MEDICINE, 2008, 36 (02) :603-609

[4] Driving Pressure and Survival in the Acute Respiratory Distress Syndrome [J].

Amato, Marcelo B. P. ;

Meade, Maureen O. ;

Slutsky, Arthur S. ;

Brochard, Laurent ;

Costa, Eduardo L. V. ;

Schoenfeld, David A. ;

Stewart, Thomas E. ;

Briel, Matthias ;

Talmor, Daniel ;

Mercat, Alain ;

Richard, Jean-Christophe M. ;

Carvalho, Carlos R. R. ;

Brower, Roy G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (08) :747-755

[5] Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome [J].

Amato, MBP ;

Barbas, CSV ;

Medeiros, DM ;

Magaldi, RB ;

Schettino, GDP ;

Lorenzi, G ;

Kairalla, RA ;

Deheinzelin, D ;

Munoz, C ;

Oliveira, R ;

Takagaki, TY ;

Carvalho, CRR .

NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (06) :347-354

[6] Prone positioning reduces mortality from acute respiratory distress syndrome in the low tidal volume era: a meta-analysis [J].

Beitler, Jeremy R. ;

Shaefi, Shahzad ;

Montesi, Sydney B. ;

Devlin, Amy ;

Loring, Stephen H. ;

Talmor, Daniel ;

Malhotra, Atul .

INTENSIVE CARE MEDICINE, 2014, 40 (03) :332-341

[7] THE AMERICAN-EUROPEAN CONSENSUS CONFERENCE ON ARDS - DEFINITIONS, MECHANISMS, RELEVANT OUTCOMES, AND CLINICAL-TRIAL COORDINATION [J].

BERNARD, GR ;

ARTIGAS, A ;

BRIGHAM, KL ;

CARLET, J ;

FALKE, K ;

HUDSON, L ;

LAMY, M ;

LEGALL, JR ;

MORRIS, A ;

SPRAGG, R ;

COCHIN, B ;

LANKEN, PN ;

LEEPER, KV ;

MARINI, J ;

MURRAY, JF ;

OPPENHEIMER, L ;

PESENTI, A ;

REID, L ;

RINALDO, J ;

VILLAR, J ;

VANASBECK, BS ;

DHAINAUT, JF ;

MANCEBO, J ;

MATTHAY, M ;

MEYRICK, B ;

PAYEN, D ;

PERRET, C ;

FOWLER, AA ;

SCHALLER, MD ;

HUDSON, LD ;

HYERS, T ;

KNAUS, W ;

MATTHAY, R ;

PINSKY, M ;

BONE, RC ;

BOSKEN, C ;

JOHANSON, WG ;

LEWANDOWSKI, K ;

REPINE, J ;

RODRIGUEZROISIN, R ;

ROUSSOS, C ;

ANTONELLI, MA ;

BELOUCIF, S ;

BIHARI, D ;

BURCHARDI, H ;

LEMAIRE, F ;

MONTRAVERS, P ;

PETTY, TL ;

ROBOTHAM, J ;

ZAPOL, W .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1994, 149 (03) :818-824

[8] Higher vs Lower Positive End-Expiratory Pressure in Patients With Acute Lung Injury and Acute Respiratory Distress Syndrome Systematic Review and Meta-analysis [J].

Briel, Matthias ;

Meade, Maureen ;

Mercat, Alain ;

Brower, Roy G. ;

Talmor, Daniel ;

Walter, Stephen D. ;

Slutsky, Arthur S. ;

Pullenayegum, Eleanor ;

Zhou, Qi ;

Cook, Deborah ;

Brochard, Laurent ;

Richard, Jean-Christophe M. ;

Lamontagne, Francois ;

Bhatnagar, Neera ;

Stewart, Thomas E. ;

Guyatt, Gordon .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 303 (09) :865-873

[9] Prone positioning attenuates and redistributes ventilator-induced lung injury in dogs [J].

Broccard, A ;

Shapiro, RS ;

Schmitz, LL ;

Adams, AB ;

Nahum, A ;

Marini, JJ .

CRITICAL CARE MEDICINE, 2000, 28 (02) :295-303

[10] Influence of prone position on the extent and distribution of lung injury in a high tidal volume oleic acid model of acute respiratory distress syndrome [J].

Broccard, AF ;

Shapiro, RS ;

Schmitz, LL ;

Ravenscraft, SA ;

Marini, JJ .

CRITICAL CARE MEDICINE, 1997, 25 (01) :16-27

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