ARDS with Severe Hypoxia—Aeromedical Transportation during Prone Ventilation | Zendy

Arthas Flabouris | Zendy; Patrick Schoettker | Zendy; Alan Garner | Zendy

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ARDS with Severe Hypoxia—Aeromedical Transportation during Prone Ventilation

Author(s) -

Arthas Flabouris,

Patrick Schoettker,

Alan Garner

Publication year - 2003

Publication title -

anaesthesia and intensive care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.494

H-Index - 62

eISSN - 1448-0271

pISSN - 0310-057X

DOI - 10.1177/0310057x0303100613

Subject(s) - medicine , ards , oxygenation , hypoxia (environmental) , anesthesia , tertiary referral hospital , prone position , emergency medicine , surgery , lung , retrospective cohort study , oxygen , chemistry , organic chemistry

Severe hypoxia, despite maximal conventional respiratory support, is one of the few remaining limitations to aeromedical transportation. A case of a 35-year-old female, who was referred 36 hours following major trauma for transfer by air to a tertiary center, is presented. At the time of referral the P a O 2 / FiO 2 ratio was 48. Usual manoeuvres to improve oxygenation had only minimal impact. The patient was turned and subsequently transported prone with resultant improvement in P a O 2 / FiO 2 ratio to 260. There were no patient- or transport-related adverse events. The implication of prone positioning during aeromedical transportation is discussed.

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