The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Effects of the Prone Position on Respiratory Mechanics and Gas Exchange during Acute Lung Injury
Abstract
We studied 16 patients with acute lung injury receiving volume-controlled ventilation to assess the relationships between gas exchange and respiratory mechanics before, during, and after 2 h in the prone position. We measured the end-expiratory lung volume (EELV, helium dilution), the total respiratory system (Cst,rs), the lung (Cst,L) and the thoracoabdominal cage (Cst,w) compliances (end-inspiratory occlusion technique and esophageal balloon), the hemodynamics, and gas exchange. In the prone position, PaO2 increased from 103.2 +/- 23.8 to 129.3 +/- 32.9 mm Hg (p < 0.05) without significant changes of Cst,rs and EELV. However, Cst,w decreased from 204.8 +/- 97.4 to 135.9 +/- 52.5 ml/cm H2O (p < 0.01) and the decrease was correlated with the oxygenation increase (r = 0.62, p < 0.05). Furthermore, the greater the baseline supine Cst,w, the greater its decrease in the prone position (r = 0.82, p < 0.01). Consequently, the oxygenation changes in the prone position were predictable from baseline supine Cst,w (r = 0.80, p < 0.01). Returning to the supine position, Cst,rs increased compared with baseline (42.3 +/- 14.4 versus 38.4 +/- 13.7 ml/cm H2O; p < 0.01), mainly because of the lung component (57.5 +/- 25.1 versus 52.4 +/- 23.3 ml/cm H2O; p < 0.01). Thus, (1) baseline Cst,w and its changes may play a role in determining the oxygenation response in the prone position; (2) the prone position improves Cst,rs and Cst,L when the supine position is resumed.
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Bernard, G. R., Artigas, A., Brigham, K. L., Carlet, J., Falke, K., Hudson, L., Lamy, M., Legall, J. R., Morris, A., & Spragg, R. (1994) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.149.3.7509706 · Cited by 6,746
Gattinoni, L., Pelosi, P., Vitale, G., Pesenti, A., D'Andrea, L., & Mascheroni, D. (1991) · Anesthesiology · doi:10.1097/00000542-199101000-00004 · Cited by 615
Self-citationGattinoni, L., Pelosi, P., Crotti, S., & Valenza, F. (1995) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.151.6.7767524 · Cited by 582
Self-citationVertical gradient of regional lung inflation in adult respiratory distress syndrome.
Pelosi, P., D'Andrea, L., Vitale, G., Pesenti, A., & Gattinoni, L. (1994) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.149.1.8111603 · Cited by 499
Self-citationMechanism by Which the Prone Position Improves Oxygenation in Acute Lung Injury
Lamm, W. J., Graham, M. M., & Albert, R. K. (1994) · American journal of respiratory and critical care medicine · doi:10.1164/ajrccm.150.1.8025748 · Cited by 486 · cited 2×
“dorsal to ventral regions (6), resulting in more even regional inflation/ventilation along the vertical axis, in the absence of a gravitary perfusion distribution (4).”
BackgroundUse of extreme position changes in acute respiratory failure
PIEHL, M. A., & BROWN, R. S. (1976) · Critical Care Medicine · doi:10.1097/00003246-197601000-00003 · Cited by 437
Improved oxygenation in patients with acute respiratory failure: the prone position.
Douglas, W. W., Rehder, K., Beynen, F. M., Sessler, A. D., & Marsh, H. W. (1977) · PubMed · doi:10.1164/arrd.1977.115.4.559 · Cited by 417
The Prone Position in ARDS Patients
Langer, M., Mascheroni, D., Marcolin, R., & Gattinoni, L. (1988) · Chest · doi:10.1378/chest.94.1.103 · Cited by 375
Self-citationProne position in mechanically ventilated patients with severe acute respiratory failure.
Chatte, G., Sab, J. M., Dubois, J. M., Sirodot, M., Gaussorgues, P., & Robert, D. (1997) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.155.2.9032181 · Cited by 360
Pappert, D., Rossaint, R., Slama, K., Grüning, T., & Falke, K. J. (1994) · Chest · doi:10.1378/chest.106.5.1511 · Cited by 355
Cited by
Malbrain, M. L. N. G., Cheatham, M. L., Kirkpatrick, A., Sugrue, M., Parr, M., De Waele, J., Balogh, Z., Leppäniemi, A., Olvera, C., Ivatury, R., et al. (2006) · Intensive Care Medicine · doi:10.1007/s00134-006-0349-5 · Cited by 1,532
Effect of prone positioning on the survival of patients with acute respiratory failure.
Gattinoni, L., Tognoni, G., Pesenti, A., Taccone, P., Mascheroni, D., Labarta, V., Malacrida, R., Di Giulio, P., Fumagalli, R., Pelosi, P., et al. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010043 · Cited by 1,271
Self-citationProne position in ARDS patients: why, when, how and for whom
Guérin, C., Albert, R. K., Beitler, J., Gattinoni, L., Jaber, S., Marini, J. J., Munshi, L., Papazian, L., Pesenti, A., Vieillard-Baron, A., et al. (2020) · Intensive Care Medicine · doi:10.1007/s00134-020-06306-w · Cited by 532
Self-citationTreatment of ARDS With Prone Positioning
Scholten, E. L., Beitler, J. R., Prisk, G. K., & Malhotra, A. (2017) · Chest · doi:10.1016/j.chest.2016.06.032 · Cited by 365
Gattinoni, L., Vagginelli, F., Carlesso, E., Taccone, P., Conte, V., Chiumello, D., Valenza, F., Caironi, P., & Pesenti, A. (2003) · Critical Care Medicine · doi:10.1097/01.ccm.0000098032.34052.f9 · Cited by 300
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Metadata
- Authors
- PELOSI, P., TUBIOLO, D., MASCHERONI, D., VICARDI, P., CROTTI, S., VALENZA, F., & GATTINONI, L.
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-02-01
- Volume
- 157
- Issue
- 2
- Pages
- 387-393
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2151853580
- Cited by
- 508
- References
- 22
- FWCI
- 27.78
- Type
- journal article
- Language
- en
- Open access
- closed
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- PELOSI, P., TUBIOLO, D., MASCHERONI, D., VICARDI, P., CROTTI, S., VALENZA, F., & GATTINONI, L. (1998). Effects of the Prone Position on Respiratory Mechanics and Gas Exchange during Acute Lung Injury. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/ajrccm.157.2.97-04023
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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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