Search Tag: Prone positioning

ICU Management

Prone Positioning During ECMO for ARDS

2021 17 Aug

There is sufficient evidence to show that prone positioning improves oxygenation and respiratory mechanics and is also associated with lower mortality in patients with moderate to severe ARDS. However, some patients can develop refractory hypoxaemia and hypercapnia that could require the use of venovenous extracorporeal membrane oxygenation (VV-ECMO)... Read more

ICU Management

Intubation Timing and COVID-19 ARDS Outcomes

2021 29 Jun

COVID-19 associated ARDS is associated with high mortality risk. Many patients with COVID-19 have been admitted with pneumonia and arterial hypoxaemia, increased work of breathing or impending fatigue. It is a common clinical practice to intubate patients with severe hypoxaemia. However, during the pandemic, there was a high demand for ICU beds. Therefore,... Read more

ICU Management

Prone Positioning and Survival in Mechanically Ventilated COVID-19 Patients

2021 22 Jun

Coronavirus disease is still fairly new for clinicians who are constantly searching for therapies for patients with respiratory failure from COVID-19. Early implementation of prone positioning ventilation has been shown to improve survival in patients with ARDS. However, data on the effect of probing on survival in patients with COVID-19 is still scarce.... Read more

ICU Management

Volume 21 - Issue 1, 2021

2021 24 Feb

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ICU Management

20 Lessons from 2020

2021 22 Feb

The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected patients need hospitalisation and admission to the ICU. A high percentage of severely ill patients with... Read more

ICU Management

Prone Positioning in Non-Intubated COVID-19 Patients

2020 25 Jun

The COVID-19 pandemic has placed unprecedented stress on health care institutions everywhere. Among other interventions, researchers and physicians have been trying to reevaluate the use of mechanical ventilation. The rise of social media has accelerated the spread of biased information about therapies that have not been peer-reviewed and have little... Read more

ICU Management

Benefits of prone positioning for mechanically ventilated patients

2018 13 Jun

An article in the journal Anesthesiology describes the effects of prone positioning on oesophageal pressures in mechanically ventilated patients. In healthy patients during general anaesthesia, switching from the supine to the prone position was associated with an increase in end-expiratory transpulmonary (distending) pressure and lung volume,... Read more

ICU Management

LIVES 2017: Lack of severe hypoxaemia most common reason not to prone

2017 05 Oct

Despite proven benefits of proning patients with ARDS ( Guérin et al. 2013 ), patients with ARDS are seldom put in prone position. A one-day prevalence study of prone positioning in ARDS patients, organised by the European Society of Intensive Care Medicine (ESICM) Acute Respiratory Failure Section, found low rates of proning, similar to those... Read more

ICU Management

Prone Positioning: Cochrane Review Finds No Convincing Evidence

2015 24 Nov

A Cochrane Review of prone positioning, published on 13 November, has found “no convincing evidence of benefit nor harm” from universal application of prone positioning (PP) in adults with hypoxaemia mechanically ventilated in intensive care units (ICUs). Roxanna Bloomfield and David W Noble, from Aberdeen Royal Infirmary, and Alexis Sudlow from Norfolk... Read more