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2
Ten golden rules for individualized mechanical ventilation in acute respiratory distress syndrome.急性呼吸窘迫综合征个体化机械通气的十条黄金法则。
J Intensive Med. 2021 Feb 5;1(1):42-51. doi: 10.1016/j.jointm.2021.01.003. eCollection 2021 Jul.
3
Mechanical Power in Prone Position Intubated Patients with COVID-19-Related ARDS: A Cohort Study.俯卧位插管的新型冠状病毒肺炎相关急性呼吸窘迫综合征患者的机械功率：一项队列研究
Crit Care Res Pract. 2023 Mar 1;2023:6604313. doi: 10.1155/2023/6604313. eCollection 2023.
4
Mechanical power is associated with weaning outcome in critically ill mechanically ventilated patients.机械通气危重症患者的机械功率与撤机结局相关。
Sci Rep. 2022 Nov 16;12(1):19634. doi: 10.1038/s41598-022-21609-2.
5
Prone position in mechanically ventilated patients.机械通气患者的俯卧位
Intensive Care Med. 2022 Aug;48(8):1062-1065. doi: 10.1007/s00134-022-06731-z. Epub 2022 Jun 2.
6
Associations of dynamic driving pressure and mechanical power with postoperative pulmonary complications-posthoc analysis of two randomised clinical trials in open abdominal surgery.动态驱动压力和机械功率与术后肺部并发症的关联——开放性腹部手术两项随机临床试验的事后分析
EClinicalMedicine. 2022 Apr 16;47:101397. doi: 10.1016/j.eclinm.2022.101397. eCollection 2022 May.
7
Mechanical Power during General Anesthesia and Postoperative Respiratory Failure: A Multicenter Retrospective Cohort Study.全麻期间机械通气与术后呼吸衰竭：一项多中心回顾性队列研究。
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Effect of prone versus supine position in COVID-19 patients: A systematic review and meta-analysis.COVID-19 患者俯卧位与仰卧位的效果：系统评价和荟萃分析。
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Sustained oxygenation improvement after first prone positioning is associated with liberation from mechanical ventilation and mortality in critically ill COVID-19 patients: a cohort study.首次俯卧位通气后持续改善氧合与危重症新型冠状病毒肺炎患者机械通气脱机及死亡率的相关性：一项队列研究
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Critically Ill Patients with COVID-19: A Narrative Review on Prone Position.新型冠状病毒肺炎危重症患者：俯卧位通气的叙述性综述
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择期全麻手术患者采用俯卧位对机械功率的影响：一项前瞻性观察研究。

Effect of the prone position on mechanical power in elective surgical patients under general anesthesia: A prospective observational study.

机构信息

From the Department of Anesthesiology and Reanimation, Karadeniz Ereğli Government Hospital, Zonguldak, Turkey.

出版信息

Saudi Med J. 2024 Aug;45(8):814-820. doi: 10.15537/smj.2024.45.8.20240242.

DOI:10.15537/smj.2024.45.8.20240242
PMID:39074888
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11288489/
Abstract

OBJECTIVES

To evaluate how the prone position influences mechanical power (MP) during elective surgical procedures.

METHODS

In this prospective study carried out at Karadeniz Ereğli Government Hospital, Zonguldak, Turkey, from January 2024 to February 2024, 76 patients under general anesthesia were evaluated at different time points during the surgical procedure. Hemodynamic, laboratory, and mechanical ventilation data were also recorded.

RESULTS

The MP increased in the prone position at the beginning of surgery. Transitioning to the supine position at the end of surgery led to a decrease in MP. At the end of surgery, the mean MP in supine and prone positions was found to be higher compared to those measured in the first hour of surgery. Mechanical power and body mass index (BMI) exhibited a significant positive correlation.

CONCLUSION

Position changes influence MP. Returning to the prone position increases MP. An increase in BMI is associated with an increase in MP..

摘要

目的

评估手术过程中俯卧位如何影响机械功率（MP）。

方法

本研究为前瞻性研究，于 2024 年 1 月至 2 月在土耳其宗古尔达克市卡拉德尼兹埃雷利政府医院进行，共评估了 76 例全麻下的患者。在手术过程中的不同时间点记录血流动力学、实验室和机械通气数据。

结果

手术开始时，患者处于俯卧位时 MP 增加。手术结束时转换为仰卧位会导致 MP 降低。手术结束时，仰卧位和俯卧位的平均 MP 高于手术开始后第一个小时测量的值。机械功率和体重指数（BMI）呈显著正相关。

结论

体位变化会影响 MP。恢复俯卧位会增加 MP。BMI 增加与 MP 增加有关。