[Prone position for the treatment of acute respiratory distress syndrome: a review of current literature].
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) have high incidence and mortality rates. Most of the recently introduced treatments have failed to improve the prognosis of patients with ALI or ARDS or to reduce mortality. Several studies have shown improved oxygenation in the prone position during mechanical ventilation in patients with ARDS. However, current evidence strongly suggests that placing ARDS patients in prone position does not improve survival or reduce the duration of mechanical ventilation. Therefore, though in clinical practice this position may improve refractory hypoxemia in patients with ARDS, there is no evidence to support its systematic use.
Martínez
Oscar
O
Servicio de Cuidados Intensivos, CIBER de Enfermedades Respiratorias CB06/06/0044, Instituto de Salud Carlos III, Hospital Universitario de Getafe, Getafe, Madrid, España.
Nin
Nicolás
N
Esteban
Andrés
A
D055371:Acute Lung Injury / Q000209:etiology / Q000517:prevention & control; D001775:Blood Circulation; D004750:Enteral Nutrition; D019317:Evidence-Based Medicine; D006801:Humans; D000860:Hypoxia / Q000209:etiology / Q000517:prevention & control; D003668:Pressure Ulcer / Q000209:etiology; D016684:Prone Position; D012123:Pulmonary Ventilation; D016032:Randomized Controlled Trials as Topic / Q000706:statistics & numerical data; D012121:Respiration, Artificial / Q000009:adverse effects / Q000706:statistics & numerical data; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000503:physiopathology / Q000628:therapy*; D015656:Respiratory Mechanics; D012189:Retrospective Studies