Prone position as a ventilatory strategy in patients with acute lung injury and acute respiratory distress syndrome

Prone position seems to be a promissing strategy to improve the hypoxemia in patients with acute lung injury and severe acute respiratory distress syndrome. Previous works have shown that, while in prone position, there is a ventilation of areas that once were in atelectasis. This ventilation is acc...

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Detalles Bibliográficos
Autores: Torres, Grazziela, R.R. Vieira, Silvia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Clinical and Biomedical Research
Idioma:portugués
OAI Identifier:oai:seer.ufrgs.br:article/125249
Acceso en línea:https://seer.ufrgs.br/index.php/hcpa/article/view/125249
Access Level:acceso abierto
Palabra clave:Lesão pulmonar aguda
síndrome da angústia respiratória aguda
posição prona
Acute lung injury
acute respiratory distress syndrome
prone position
Descripción
Sumario:Prone position seems to be a promissing strategy to improve the hypoxemia in patients with acute lung injury and severe acute respiratory distress syndrome. Previous works have shown that, while in prone position, there is a ventilation of areas that once were in atelectasis. This ventilation is accompanied by a redistribution of blood flow, with a reduction of the intrapulmonary shunt and, therefore, an improvement of the ventilation/ perfusion relation. The authors review the use of prone position, its indications and contraindications, as well as the mechanisms involved in the oxygenation improvement.