title: Supine chest compression: alternative to prone ventilation in acute respiratory distress syndrome.
abstract: Prone ventilation is usually used for severe acute respiratory distress syndrome. We applied an alternative method to prone position. We described 2 cases of trauma where prone position could not be done. Chest wall compression was performed by 2-kg weight in front of the chest wall bilaterally while the patient was in a supine position. Respiratory mechanics work to improve oxygenation almost as same as the mechanism proposed for prone position without any major adverse effects and serious complications. We suggest a larger randomized study to determine the efficacy and also to find out the optimum weight required to compress the chest.
authors: Department of Anesthesia & Critical Care (Trauma Centre), JPNA Trauma Centre, AIIMS, New Delhi 110029, India. Electronic address: dr.sukhensamanta@gmail.com.
authors: Sukhen
authors: S
authors: Samanta
authors: Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Luckow 226014, India.
authors: Sujay
authors: S
authors: Samanta
authors: Department of Anesthesia & Critical Care (Trauma Centre), JPNA Trauma Centre, AIIMS, New Delhi 110029, India.
authors: Kapil Dev
authors: KD
authors: Soni
mesh_terms: D000328:Adult; D004636:Emergency Service, Hospital; D006336:Heart Massage / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016683:Supine Position