Prone positioning for acute respiratory failure improved short term oxygenation but not survival

Prone positioning for acute respiratory failure improved short-term oxygenation but not survival.

Effect of prone positioning on the survival of patients with acute respiratory failure.

BACKGROUND Although placing patients with acute respiratory failure in a prone (face down) position improves their oxygenation 60 to 70 percent of the time, the effect on survival is not known. METHODS In a multicenter, randomized trial, we compared conventional treatment (in the supine position) of patients with acute lung injury or the acute respiratory distress syndrome with a predefined s...

Complications of intermittent prone positioning in pediatric patients receiving extracorporeal membrane oxygenation for respiratory failure.

STUDY OBJECTIVE To describe the safety and risks of placing pediatric patients in the prone position during extracorporeal membrane oxygenation (ECMO) for the treatment of respiratory failure. DESIGN Single-center retrospective cohort study. SETTING Tertiary pediatric ICUs. PATIENTS All patients admitted to the pediatric ICU who required ECMO for respiratory failure from 1995 to 2000. I...

Complications of Prone Positioning During Extracorporeal Membrane Oxygenation for Respiratory Failure: A Systematic Review.

BACKGROUND Extracorporeal membrane oxygenation (ECMO) is often used in patients with severe respiratory failure to improve oxygenation and survival. ECMO gives the lungs an opportunity to rest and recover. The addition of prone positioning therapy used concurrently with ECMO can further aid in optimizing alveolar recruitment and reducing ventilator-induced lung injury, ultimately resulting in f...

Clinical Meaning of Early Oxygenation Improvement in Severe Acute Respiratory Distress Syndrome under Prolonged Prone Positioning

BACKGROUND/AIMS Ventilating patients with acute respiratory distress syndrome (ARDS) in the prone position has been shown to improve arterial oxygenation, but prolonged prone positioning frequently requires continuous deep sedation, which may be harmful to patients. We evaluated the meaning of early gas exchange in patients with severe ARDS under prolonged (> or = 12 hours) prone positioning. ...