Does Prone Positioning Improve Oxygenation and Reduce Mortality in Patients with Acute Respiratory Distress Syndrome? | Zendy

William R. Henderson | Zendy; Donald Griesdale | Zendy; Paolo B. Dominelli | Zendy; Juan J. Ronco | Zendy

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Does Prone Positioning Improve Oxygenation and Reduce Mortality in Patients with Acute Respiratory Distress Syndrome?

Author(s) -

William R. Henderson,

Donald Griesdale,

Paolo B. Dominelli,

Juan J. Ronco

Publication year - 2014

Publication title -

canadian respiratory journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.675

H-Index - 53

eISSN - 1916-7245

pISSN - 1198-2241

DOI - 10.1155/2014/472136

Subject(s) - medicine , ards , prone position , atelectasis , intensive care medicine , acute respiratory distress , respiratory distress , oxygenation , radiology , lung

The emergence of computed tomography imaging more than 25 years ago led to characterization of acute respiratory distress syndrome (ARDS) as areas of relatively normal lung parenchyma juxtaposed with areas of dense consolidation and atelectasis. Given that this heterogeneity is often dorsally distributed, investigators questioned whether care for ARDS patients in the prone position would lead to improved mortality outcomes. This clinical review discusses the physiological rationale and clinical evidence supporting prone positioning in treating ARDS, in addition to its complications and contraindications

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