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Journal of Nursing ›› 2023, Vol. 30 ›› Issue (9): 60-63.doi: 10.16460/j.issn1008-9969.2023.09.060

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Effect and effective duration of prone ventilation in patients with acute respiratory distress

JIANG Ya-qiana, CHEN Zhaob, XU Hai-yanb, WU Qian-shengb, ZHOU Yan-rongb   

  1. a. Dept. of Nursing Administration; b. Dept. of Cardiovascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2023-03-25 Online:2023-05-10 Published:2023-06-08

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Abstract: Objectives To observe the effect and effective duration of prone ventilation in patients with acute respiratory distress syndrome (ARDS) after cardiac surgery. Methods We retrospectively collected the data of ARDS patients with prone ventilation in the cardiac surgery intensive care unit of a tertiary hospital in Wuhan. The ventilation indicators before, during (4 h, 8 h, 12 h), and after prone ventilation therapy were statistically analyzed. Results Oxygenation index and PaO2 at 4 h, 8 h, and 12 h of prone ventilation therapy increased significantly than baseline (P<0.05), which were more obvious in the 4h group when compared with those in the 12 h group (P<0.05); oxygenation index and PaO2 at 6 h after prone ventilation therapy were higher than those before the treatment (P<0.05). Conclusion Prone ventilation was safe and effective in improving oxygenation in patients with ARDS after cardiac surgery, but the effective duration still needs further exploration.

Key words: prone ventilation, cardiac surgery, acute respiratory distress syndrome, mechanical ventilation, oxygenation index

CLC Number: 

  • R473.6
[1] 蒋燕,陆叶,蒋旭琴,等. 成人急性呼吸窘迫综合征患者俯卧位通气管理的最佳证据总结[J]. 中华护理杂志,2022,57(15):1878-1885.DOI:10.3761/j.issn.0254-1769.2022.15.013.
[2] Bloomfield R, Noble DW, Sudlow A.Prone position for acute respiratory failure inadults[J].CochraneDbSystRev2015(11):D8095. DOI:10.1002/14651858.CD008095.pub2.
[3] 杜玉明,李岩,孙荣青,等. 俯卧位通气对重症肺炎患者氧合影响的Meta分析[J].中华危重病急救医学,2018,30(4): 327-331.DOI:10.3760/cma.j.issn.2095-4352.2018.04.008.
[4] Guérin C, Albert RK, Beitler J, et al.Prone position in ARDS patients: why, when, how and for whom[J]. Intens Care Med, 2020, 46(12):2385-2396.DOI:10.1007/s00134-020-06306-w.
[5] Miranda DR, Gommers D, Papadakos PJ, et al.Mechanical ventilation affects pulmonary inflammation in cardiac surgery patients: the role of the open-lung concept[J]. J Cardiothor Vasc an,2007,21(2):279-284.DOI:10.1053/j.jvca.2006.02.007.
[6] Neves FH, Carmona MJ, Auler JOCJ,et al.Cardiac compression of lung lower lobes after coronary artery bypass graft with cardiopulmonary bypass[J]. Plos One,2013,8(11):e78643. DOI:10.1371/journal.pone.0078643.
[7] Stephens RS, Shah AS,Whitman GJR.Lung injury and acute respiratory distress syndrome after cardiac surgery[J]. The Annals of thoracic surgery,2013,95(3):1122-1129. DOI:10.1016/j.athoracsur.2012.10.024.
[8] Fan E,Del Sorbo L,Goligher EC,et al.An official american thoracic society/european society of intensive care medicine/society of critical care medicine clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome[J]. Am J Resp Crit Care,2017,195(9):1253-1263.DOI:10.1164/rccm.201703-0548ST.
[9] Ranieri VM,Rubenfeld GD,Thompson BT,et al.Acute respiratory distress syndrome: the Berlin Definition[J]. JAMA,2012,307(23):2526-2533.DOI:10.1001/jama.2012.5669.
[10] 王宏雄. 俯卧位通气在主动脉夹层术后并发ARDS患者中的应用研究[D].太原:山西医科大学, 2022.DOI:10.27288/d.cnki.gsxyu.2022.000252.
[11] Weig T, Janitza S, Zoller M, et al.Influence of abdominal obesity on multiorgan dysfunction and mortality in acute respiratory distress syndrome patients treated with prone positioning[J]. J Crit Care, 2014,29(4):557-561.DOI:10.1016/j.jcrc.2014.02.010.
[12] 韦耀猛,凌云,宋亚敏,等. 5例肥胖患者在心脏术后发生低氧血症行俯卧位通气治疗的护理[J]. 护理学报,2021,28(8):56-58.DOI:10.16460/j.issn1008-9969.2021.08.056.
[13] 姜会,柏晓玲,成忠莎,等. 俯卧位通气在体外循环心脏术后低氧血症患者中应用效果的Meta分析[J]. 中华护理杂志,2022,57(16):2010-2018.DOI:10.3761/j.issn.0254-1769.2022.16.014.
[14] von Wardenburg C, Wenzl M, Dell'Aquila AM,et al. Prone positioning in cardiac surgery: for many, but not for everyone[J]. Semin Thorac Cardiovasc Surg,2016,28(2):281-287.DOI:10.1053/j.semtcvs.2016.04.008.
[15] Mcauley D, Giles S, Fichter H, et al.What is the optimal duration of ventilation in the prone position in acute lung injury and acute respiratory distress syndrome?[J]. Intens Care Med,2002, 28(4):414-418.DOI:10.1007/s00134-002-1248-z.
[16] Miyamoto K, Kawazoe Y, Yasuda M,et al.Oxygenation improves during the first 8 h of extended-duration prone positioning in patients with respiratory failure: a retrospective study[J]. J Intensive Care, 2014, 2(1):52. DOI:10.1186/s40560-014-0052-5.
[17] 解立新,刘又宁. 肺内源性急性呼吸窘迫综合征(ARDS)与肺外源性ARDS[J]. 中华内科杂志, 2003(7):72-74.DOI:10.3760/j.issn:0578-1426.2003.07.033.
[18] Lim CM, Kim EK, Lee JS, et al.Comparison of the response to the prone position between pulmonary and extrapulmonary acute respiratory distress syndrome[J]. Intensive care medicine, 2001,27(3):477-485.DOI:10.1007/s001340000848.
[19] 黄英姿,邱海波,刘玲,等. 肺内外源性急性呼吸窘迫综合征实施俯卧位通气时间的选择[J]. 中华内科杂志,2004(12):7-11.DOI:10.3760/j.issn:0578-1426.2004.12.002.
[20] Rezoagli E, Mariani I, Rona R, et al.Difference between prolonged versus standard duration of prone position in COVID-19 patients: a retrospective study[J]. Minerva Anestesiol,2021,87(12).DOI:10.23736/S0375-9393.21.15864-X.
[21] Page DB, Vijaykumar K, Russell DW, et al.Prolonged prone positioning for COVID-19-induced acute respiratory distress syndrome: a randomized pilot clinical trial[J]. Ann Am Thorac Soc,2022,19(4):685.DOI:10.1513/AnnalsATS.202104-498RL.
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