Pneumonectomy subjects with acute respiratory distress syndrome: what to do.

I read with interest the article on prone ventilation in acute respiratory distress syndrome (ARDS) by GUÉRIN [1] in the European Respiratory Review. In this extensive review, the author elaborated on the rationale, evidence and limitations of the application of prone position in ARDS patients. It is understood that excellent research has been conducted on the topic of prone position ventilation in ARDS. These findings have led to the authorisation of evidence-based medicine in prone ventilation in severe ARDS. In general, every intensive care clinician has to keep abreast of current developments in ARDS pathophysiology and management. The article by GUÉRIN [1] helps the clinician to comprehensively understand the benefits, limitations and complications of prone ventilation. This is necessary to acquire strong skills in the technique, which are highly nuanced.