Oto Brandon, Orosco Rowena I, Panter Elizabeth, Velamuri Rama, Kar A Reema, Caffrey Julie
Department of Anesthesiology and Critical Care Medicine, Postgraduate Critical Care Residency for Physician Assistants, Johns Hopkins Medicine, Baltimore, MD.
Johns Hopkins Burn Center, Johns Hopkins Medicine, Baltimore, MD.
J Burn Care Res. 2018 Apr 20;39(3):471-475. doi: 10.1097/BCR.0000000000000601.
Acute respiratory distress syndrome (ARDS) is a common sequela of severe burns and inhalation injury. The massive inflammatory reaction that follows deep burn injury, compounded by episodes of sepsis and organ dysfunction, predisposes patients to the development of ARDS. Prone positioning as a means of improving gas exchange has shown benefit in refractory cases of ARDS, but it is not well described in the burn population. We present a case report of a patient with severe ARDS who underwent prone positioning, review the relevant literature, and provide a discussion of practical concerns.
急性呼吸窘迫综合征（ARDS）是严重烧伤和吸入性损伤的常见后遗症。深度烧伤后随之而来的大规模炎症反应，再加上脓毒症发作和器官功能障碍，使患者易患ARDS。俯卧位作为一种改善气体交换的方法，已在ARDS难治性病例中显示出益处，但在烧伤人群中的相关描述并不充分。我们报告一例接受俯卧位治疗的严重ARDS患者的病例，并回顾相关文献，同时对实际问题进行讨论。
