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Am J Emerg Med. 2014 Jun;32(6):687.e1-3. doi: 10.1016/j.ajem.2013.12.021. Epub 2013 Dec 12.

How safe is the prone position in acute respiratory distress syndrome at late pregnancy?

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Department of Anesthesia & Critical Care (Trauma Centre), JPNA Trauma Centre, AIIMS, New Delhi 110029 India. Electronic address:
Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Luckow, 226014 India.
Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012 India.


We encountered a case of severe acute respiratory distress syndrome in late pregnancy due to influenza (H1N1) with refractory hypoxemia to conventional mechanical ventilation. Ventilation in prone position rescued this patient by maintaining oxygenation and sustaining improvement thereafter. Here, we discuss the mechanism of prone ventilation with special references to safety management of acute respiratory distress syndrome in the third trimester of pregnancy. It requires frequent monitoring of possible complications due to prone position and highly dedicated supporting staffs. More data are required on safety of proning in the late pregnancy.

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