Journal of Critical Care
Volume 24, Issue 1 , Pages 81-88 , March 2009

Extended prone position ventilation in severe acute respiratory distress syndrome: A pilot feasibility study

  • Carlos M. Romero

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile
    • Corresponding Author InformationCorresponding author. Departamento de Medicina, Unidad de Pacientes Críticos, Hospital Clínico Universidad de Chile, Facultad de Medicina Universidad de Chile, Independencia, Santiago Norte, Chile. Fax: +56 2 9788264.
    • ,
  • Rodrigo A. Cornejo

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile
    • ,
  • L. Ricardo Gálvez

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile
    • ,
  • Osvaldo P. Llanos

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile
    • ,
  • Eduardo A. Tobar

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile
    • ,
  • M. Angélika Berasaín

      Affiliations

    • Critical Patient Unit, University of Chile Clinical Hospital, Chile
    • ,
  • Daniel H. Arellano

      Affiliations

    • School of Kinesiology, Faculty of Medicine, Critical Patient Unit, University of Chile Clinical Hospital, Chile
    • ,
  • Jorge F. Larrondo

      Affiliations

    • Faculty of Medicine, University of Chile, Chile
    • ,
  • José S. Castro

      Affiliations

    • Critical Patient Unit, Department of Medicine, University of Chile Clinical Hospital, Chile

References 

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  14. Hickling KG. Best compliance during a decremental, but not incremental, positive end-expiratory pressure trial is related to open-lung positive end-expiratory pressure. Am J Respir Crit Care Med. 2001;163:69–78
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  18. Hernandez G, Bruhn A, Romero C, et al. Implementation of a norepinephrine-based protocol for management of septic shock: a pilot feasibility study. J Trauma. 2006;60:77–81
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  22. Broccard AF, Shapiro RS, Schmitz LL, et al. Prone positioning attenuates and redistributes ventilator-induced lung injury in dogs. Crit Care Med. 2000;28:295–303
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  24. Galiatsou E, Kostanti E, Svarna E, et al. Prone position augments recruitment and prevents alveolar overinflation in acute lung injury. Am J Respir Crit Care Med. 2006;174:187–197
  25. Lim CM, Koh Y, Chin JY, et al. Respiratory and haemodynamic effects of the prone position at two different levels of PEEP in a canine acute lung injury model. Eur Respir J. 1999;13:163–168
  26. McAuley DF, Giles S, Fichter H, et al. What is the optimal duration of ventilation in the prone position in acute lung injury and acute respiratory distress syndrome?. Intensive Care Med. 2002;28:414–418
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  29. Terragni P, Rosboch G, Tealdi A, et al. Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med. 2007;175:160–166
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  31. Gattinoni L, Vagginelli F, Carlesso E, et al. Decrease in PaCO2 with prone position is predictive of improved outcome in acute respiratory distress syndrome. Crit Care Med. 2003;31:2727–2733
  32. Monchi M, Bellefant F, Cariou A, et al. Early predictive factors of survival in the acute respiratory distress syndrome. Am J Respir Crit Care Med. 1998;158:1076–1081

PII: S0883-9441(08)00052-X

doi: 10.1016/j.jcrc.2008.02.005

Journal of Critical Care
Volume 24, Issue 1 , Pages 81-88 , March 2009

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