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Comment
. 2005 Jun;9(3):253-4.
doi: 10.1186/cc3534. Epub 2005 May 5.

Prone position in mechanically ventilated patients -- the hard or the soft way?

Christian Putensen  1
Affiliations
Comment

Prone position in mechanically ventilated patients -- the hard or the soft way?

Christian Putensen. Crit Care. 2005 Jun.

Abstract

Prone positioning may even in patients without abdominal hypertension result in an increased intra-abdominal pressure (IAP). Previous research could not demonstrate a marked increase in IAP associated with cardiovascular, renal, or hepato-splanchnic dysfunction when patients were proned in air-cushioned beds. Michelet and colleagues in this issue of Critical Care report that the increase in IAP in the prone position depends on the used mattress type. Compared with air-cushion beds, conventional foam mattresses resulted in a greater increase in IAP which was associated with a decrease in the plasma disappearance rate of indocyanin green (PDRICG) indicating inadequate heptosplanchnic function.

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