Does Prone Positioning Improve Oxygenation and Reduce Mortality in Patients with Acute Respiratory Distress Syndrome?. Issue 4 (2014)

• Record Type: Journal Article
• Authors: Henderson, William R; Griesdale, Donald EG; Dominelli, Paolo; Ronco, Juan J
• Is Part Of: Canadian respiratory journal. Volume 21:Issue 4(2014)
• Page Start: 213
• Page End: 215
• Publication Date: 2014
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Canada -- Periodicals; Respiration; Respiratory organs -- Diseases; Canada; Respiratory Tract Diseases -- Periodicals; Periodicals; Periodicals; 616.2
• DOI: 10.1155/2014/472136
• Languages: English
• ISSNs: 1198-2241

Abstract

Abstract : The emergence of computed tomography imaging more than 25 years ago led to characterization of acute respiratory distress syndrome (ARDS) as areas of relatively normal lung parenchyma juxtaposed with areas of dense consolidation and atelectasis. Given that this heterogeneity is often dorsally distributed, investigators questioned whether care for ARDS patients in the prone position would lead to improved mortality outcomes. This clinical review discusses the physiological rationale and clinical evidence supporting prone positioning in treating ARDS, in addition to its complications and contraindications.