俯卧位通气治疗急性呼吸窘迫综合征。

Prone-positioning therapy in ARDS.

机构信息

Division of Acute Care Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 1C340A-UH, SPC 5033, Ann Arbor, MI 48109-5033, USA.

出版信息

Crit Care Clin. 2011 Jul;27(3):511-23. doi: 10.1016/j.ccc.2011.05.010.

DOI:10.1016/j.ccc.2011.05.010

PMID:21742215

Abstract

The prone position has been used to improve oxygenation in patients with severe hypoxemia and acute respiratory failure since 1974. All studies with the prone position document an improvement in systemic oxygenation in 70% to 80% of patients with acute respiratory distress syndrome (ARDS), with maximal improvement seen in the most hypoxemic patients. This article reviews data regarding efficacy for use of the prone position in patients with ARDS. Also described is a simple, safe, quick, and inexpensive procedure used to prone patients with severe ARDS on a standard bed in the intensive care unit at the University of Michigan.

摘要

自 1974 年以来，俯卧位一直被用于改善严重低氧血症和急性呼吸衰竭患者的氧合。所有俯卧位的研究都记录了 70%至 80%的急性呼吸窘迫综合征（ARDS）患者全身氧合的改善，在最缺氧的患者中观察到最大程度的改善。本文回顾了俯卧位在 ARDS 患者中的疗效数据。还描述了一种简单、安全、快速且廉价的程序，用于在密歇根大学重症监护病房的标准床上将严重 ARDS 患者俯卧。