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Titolo:
EFFECTS OF VENTILATION IN VENTRAL DECUBITUS POSITION ON RESPIRATORY MECHANICS IN ADULT-RESPIRATORY-DISTRESS-SYNDROME
Autore:
SERVILLO G; ROUPIE E; DEROBERTIS E; ROSSANO F; BROCHARD L; LEMAIRE F; TUFANO R;
Indirizzi:
IST ANESTESIA & RIANIMAZ,VIA S PANSINI 5 I-80131 NAPLES ITALY UNIV NAPLES FEDERICO II,INST ANAESTHESIOL & INTENS CARE MED NAPLES ITALY UNIV PARIS 12,HOP HENRI MONDOR,INSERM,U296,MED INTENS CARE UNIT F-94010 CRETEIL FRANCE
Titolo Testata:
Intensive care medicine
fascicolo: 12, volume: 23, anno: 1997,
pagine: 1219 - 1224
SICI:
0342-4642(1997)23:12<1219:EOVIVD>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
REGIONAL PLEURAL PRESSURES; ACUTE LUNG INJURY; PRONE POSITION; CHEST-WALL; ABDOMINAL DISTENSION; GENERAL-ANESTHESIA; PIGS INVIVO; VOLUME; OXYGENATION; FAILURE;
Keywords:
ACUTE RESPIRATORY FAILURE; GAS EXCHANGE; MECHANICS; BODY POSITION; COMPLIANCE OF RESPIRATORY SYSTEM; MECHANICAL VENTILATION;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
G. Servillo et al., "EFFECTS OF VENTILATION IN VENTRAL DECUBITUS POSITION ON RESPIRATORY MECHANICS IN ADULT-RESPIRATORY-DISTRESS-SYNDROME", Intensive care medicine, 23(12), 1997, pp. 1219-1224

Abstract

Objective: To assess the potential benefits of a period of ventilation in ventral decubitus (VD) on oxygenation and respiratory mechanics in the adult respiratory distress syndrome (ARDS). Design: In a stable condition during baseline ventilation in dorsal decubitus (DD), after 15 min of ventilation in VD and after 10 min of restored DD, the following parameters were studied: arterial blood gas tension, haemodynamics and static respiratory compliance (Crs), evaluated with the rapid airway occlusion technique. Setting: The study was completed in the intensive care units of university hospitals as part of the management of the patients studied. Patients: Twelve patients (7 males, 5 females, mean age 51.8 +/- 16.6 years) suffering from ARDS of different aetiologies. Interventions: Before and during each evaluation, the patients were kept under stable haemodynamic and metabolic conditions. The ventilatory setting was kept constant. All the patients were sedated, paralysed and mechanically ventilated. Results: A statistically significant increase in the ratio between the arterial partial pressure of oxygen and fractional inspired oxygen (p < 0.01) was observed between the baseline conditions (mean 123.9 +/- 22.6) and VD (mean 153.0 +/- 16.9), while no statistical significance was noted between baseline conditionsand after 10 min of restored DD (mean 141.1 +/- 19.7). A significant increase in Crs (p < 0.001) was observed between baseline conditions (mean 42 +/- 10.1) and VD (mean 48.8 +/- 9.6) and between baseline conditions and restored DD (mean 44.7 +/- 10.6). Two patients were considered nonresponders. All the patients were haemodynamically stable. No side effects were noted. Conclusions: We observed an increase in oxygenation and Crs when the patients were turned from the supine to the prone position with the upper thorax and pelvis supported.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 05:57:14