The prone position in acute lung injury

Michael Linden Green; Martha A Q Curley; John H. Arnold

doi:10.1007/978-3-642-01219-8_23

The prone position in acute lung injury

Michael Linden Green, Martha A Q Curley, John H. Arnold

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Refractory hypoxemia is a characteristic feature of severe ARDS. Over the last 30 years, prone positioning is one intervention clinicians have used to improve oxygenation in these patients. Prone positioning improves oxygenation via better ventilation-to-perfusion matching and improved lung mechanics while reducing the potential for ventilator-associated lung injury. In both pediatric and adult studies, prone positioning has been found to be a safe and relatively noninvasive maneuver for patients with ARDS. Though prone positioning clearly improves oxygenation, clinical trials have not demonstrated improvements in survival or morbidity.

Original language	English (US)
Title of host publication	Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice
Publisher	Springer Berlin Heidelberg
Pages	671-686
Number of pages	16
ISBN (Print)	9783642012198, 9783642012181
DOIs	https://doi.org/10.1007/978-3-642-01219-8_23
State	Published - Jan 1 2015

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-3-642-01219-8_23

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AB - Refractory hypoxemia is a characteristic feature of severe ARDS. Over the last 30 years, prone positioning is one intervention clinicians have used to improve oxygenation in these patients. Prone positioning improves oxygenation via better ventilation-to-perfusion matching and improved lung mechanics while reducing the potential for ventilator-associated lung injury. In both pediatric and adult studies, prone positioning has been found to be a safe and relatively noninvasive maneuver for patients with ARDS. Though prone positioning clearly improves oxygenation, clinical trials have not demonstrated improvements in survival or morbidity.

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The prone position in acute lung injury

Abstract

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