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Prone Position During Mechanical Ventilation

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Personalized Mechanical Ventilation

Abstract

The prone position in patients under invasive mechanical ventilation (IMV) has been widely studied and used for the treatment of ARDS. This posture has shown beneficial effects on gas exchange and ventilatory mechanics compared to the supine position. Some well-designed trials demonstrated that the prone position is a strategy that improves outcomes in patients with moderate-severe ARDS when combined with low-volume tidal. The prone position in patients under IMV is not exempt from adverse effects. There are some absolute and relative contraindications to prone. Patients can be pronated and supinated daily if conditions allow, but the survival benefit is seen when >16 continuous strokes per day are achieved. It has been recommended to consider keeping patients in supine if a PaO2/FiO2 > 150 mmHg is maintained for more than 4 h after being supinated.

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Author information

Authors and Affiliations

  1. Hospital General San Juan del Río, Querétaro, Mexico

    Orlando Pérez-Nieto

  2. Hospital General IESS, Quevedo, Ecuador

    Carlos Sánchez

  3. Hospital Regional #6 IMSS, Madero City, Tamaulipas, Mexico

    Eder Zamarrón

Authors
  1. Orlando Pérez-Nieto
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  2. Carlos Sánchez
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  3. Eder Zamarrón
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Editor information

Editors and Affiliations

  1. Critical Care Division Belize Healthcare Partners, Belize, Belize

    Jorge Hidalgo

  2. Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C Hyzy

  3. Critical Care Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates

    Ahmed Mohamed Reda Taha

  4. Critical Care, King Faisal Specialist Hospital & Research, Riyadh, Saudi Arabia

    Yasser Younis A. Tolba

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© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Pérez-Nieto, O., Sánchez, C., Zamarrón, E. (2022). Prone Position During Mechanical Ventilation. In: Hidalgo, J., Hyzy, R.C., Mohamed Reda Taha, A., Tolba, Y.Y.A. (eds) Personalized Mechanical Ventilation . Springer, Cham. https://doi.org/10.1007/978-3-031-14138-6_12

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  • DOI: https://doi.org/10.1007/978-3-031-14138-6_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14137-9

  • Online ISBN: 978-3-031-14138-6

  • eBook Packages: MedicineMedicine (R0)

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