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Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit?
Clin Sci (Lond). 2006 Jun; 110(6):641-3.CS

Abstract

Prone positioning of patients with acute respiratory failure was first suggested over 30 years ago. In the present issue of Clinical Science, Reutershan and co-workers have studied the changes in end-expiratory lung volume in 12 patients with ARDS (acute respiratory distress syndrome) over an 8 h period following manual turning from the supine to prone position. From the data presented, the authors suggest that baseline end-expiratory lung volume could be used to identify responders, and serial measurements would permit appropriate 'dosing' of the therapy. Although this is an interesting study that provides data that have rarely been collected when assessing the response to prone positioning, there are a number of limitations that need to be considered. However, despite the limitations, the study does stimulate a number of important questions related not only to the use of the prone position, but also to the management of patients with ARDS in general.

Authors+Show Affiliations

Department of Intensive Care, St Thomas' Hospital, Guy's & St Thomas' NHS Trust, Lambeth Palace Road, London SE1 7EH, UK. David.Treacher@gstt.nhs.uk

Pub Type(s)

Journal Article
Comment

Language

eng

PubMed ID

16603026

Citation

Treacher, David F.. "Use of the Prone Position in the Acute Respiratory Distress Syndrome: How Should We Assess Benefit?" Clinical Science (London, England : 1979), vol. 110, no. 6, 2006, pp. 641-3.
Treacher DF. Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit? Clin Sci (Lond). 2006;110(6):641-3.
Treacher, D. F. (2006). Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit? Clinical Science (London, England : 1979), 110(6), 641-3.
Treacher DF. Use of the Prone Position in the Acute Respiratory Distress Syndrome: How Should We Assess Benefit. Clin Sci (Lond). 2006;110(6):641-3. PubMed PMID: 16603026.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of the prone position in the acute respiratory distress syndrome: how should we assess benefit? A1 - Treacher,David F, PY - 2006/4/11/pubmed PY - 2006/8/5/medline PY - 2006/4/11/entrez SP - 641 EP - 3 JF - Clinical science (London, England : 1979) JO - Clin Sci (Lond) VL - 110 IS - 6 N2 - Prone positioning of patients with acute respiratory failure was first suggested over 30 years ago. In the present issue of Clinical Science, Reutershan and co-workers have studied the changes in end-expiratory lung volume in 12 patients with ARDS (acute respiratory distress syndrome) over an 8 h period following manual turning from the supine to prone position. From the data presented, the authors suggest that baseline end-expiratory lung volume could be used to identify responders, and serial measurements would permit appropriate 'dosing' of the therapy. Although this is an interesting study that provides data that have rarely been collected when assessing the response to prone positioning, there are a number of limitations that need to be considered. However, despite the limitations, the study does stimulate a number of important questions related not only to the use of the prone position, but also to the management of patients with ARDS in general. SN - 0143-5221 UR - https://www.unboundmedicine.com/medline/citation/16603026/Use_of_the_prone_position_in_the_acute_respiratory_distress_syndrome:_how_should_we_assess_benefit L2 - https://portlandpress.com/clinsci/article-lookup/doi/10.1042/CS20060068 DB - PRIME DP - Unbound Medicine ER -