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Crit Care. 2011;15(6):1019. doi: 10.1186/cc10560. Epub 2011 Dec 15.

Positioning of patients with acute respiratory distress syndrome: combining prone and upright makes sense.

Abstract

Positional strategies have been proposed for mechanically ventilated patients with acute respiratory distress syndrome. Despite different physiological mechanisms involved, oxygenation improvement has been demonstrated with both prone and upright positions. In the previous issue of Critical Care, Robak and colleagues reported the first study evaluating the short-term effects of combining prone and upright positioning. The combined positioning enhanced the response rate in terms of oxygenation. Other benefits, such as a reduction in ventilator-associated pneumonia and better enteral feeding tolerance, can potentially be expected.

PMID:
22182757
PMCID:
PMC3388640
DOI:
10.1186/cc10560
[Indexed for MEDLINE]
Free PMC Article
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