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Cited by 532

The DOI matches its Crossref record; 77 of the 77 references it cites were found in a registry or an index.

Prone position in ARDS patients: why, when, how and for whom

Open access
Guérin, Claude, Albert, Richard K., Beitler, Jeremy, Gattinoni, Luciano, Jaber, Samir, Marini, John J., Munshi, Laveena, Papazian, Laurent, Pesenti, Antonio, Vieillard-Baron, Antoine, Mancebo, Jordi·2020·Intensive Care Medicine

Abstract

In ARDS patients, the change from supine to prone position generates a more even distribution of the gas–tissue ratios along the dependent–nondependent axis and a more homogeneous distribution of lung stress and strain. The change to prone position is generally accompanied by a marked improvement in arterial blood gases, which is mainly due to a better overall ventilation/perfusion matching. Improvement in oxygenation and reduction in mortality are the main reasons to implement prone position in patients with ARDS. The main reason explaining a decreased mortality is less overdistension in non-dependent lung regions and less cyclical opening and closing in dependent lung regions. The only absolute contraindication for implementing prone position is an unstable spinal fracture. The maneuver to change from supine to prone and vice versa requires a skilled team of 4–5 caregivers. The most frequent adverse events are pressure sores and facial edema. Recently, the use of prone position has been extended to non-intubated spontaneously breathing patients affected with COVID-19 ARDS. The effects of this intervention on outcomes are still uncertain.

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Metadata

Authors
Guérin, C., Albert, R. K., Beitler, J., Gattinoni, L., Jaber, S., Marini, J. J., Munshi, L., Papazian, L., Pesenti, A., Vieillard-Baron, A., & Mancebo, J.
Venue
Intensive Care Medicine
Published
2020-11-10
Volume
46
Issue
12
Pages
2385-2396
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W3100383641
Cited by
532
References
77
FWCI
40.02
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Prone position in ARDS patients: why, when, how and for whom. https://app.cochat.ai/papers/10.1007/s00134-020-06306-w
The paper
Guérin, C., Albert, R. K., Beitler, J., Gattinoni, L., Jaber, S., Marini, J. J., Munshi, L., Papazian, L., Pesenti, A., Vieillard-Baron, A., & Mancebo, J. (2020). Prone position in ARDS patients: why, when, how and for whom. Intensive Care Medicine. https://doi.org/10.1007/s00134-020-06306-w

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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