title: [Prolonged prone position ventilation for severe respiratory distress syndrome post-pneumonectomy. Report of one case].
abstract: Management of patients with severe respiratory failure is mainly supportive, and protective mechanical ventilation is the pivotal treatment. When conventional therapy is insufficient to improve oxygenation without deleterious effects, other strategies should be considered. We report a 53 year-old male who presented a severe respiratory failure refractory to conventional management after pneumonectomy. Prone position ventilation was used for 36 hours. Respiratory variables improved and he did not show hemodynamic instability. He was returned to the supine position without worsening of oxygenation parameters. Extended prone position ventilation could be considered in patients presenting with unresponsive severe respiratory failure after pulmonary resection.
authors.affiliation: Unidad de Pacientes Críticos, Hospital Clínico, Universidad de Chile, Santiago de Chile. rcornejor@redclinicauchile.cl
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Cornejo
authors.forename: Carlos
authors.initials: C
authors.lastname: Romero
authors.forename: Daniela
authors.initials: D
authors.lastname: Goñi
authors.forename: Rafael
authors.initials: R
authors.lastname: Luengas
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Llanos
authors.forename: Ricardo
authors.initials: R
authors.lastname: Gálvez
authors.forename: José
authors.initials: J
authors.lastname: Castro
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning / Q000379:methods; D011013:Pneumonectomy / Q000009:adverse effects*; D016684:Prone Position / Q000502:physiology*; D012121:Respiration, Artificial / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000628:therapy*