Body Position: A Question That Weighs Heavily on Lung Protection in Acute Respiratory Distress Syndrome
- PMID: 36227039
- DOI: 10.1097/CCM.0000000000005652
Body Position: A Question That Weighs Heavily on Lung Protection in Acute Respiratory Distress Syndrome
Conflict of interest statement
Dr. Duggal’s institution received funding from the National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury (PETAL) network and the Centers for Disease Control and Prevention Influenza and Other Viruses in the Acutely Ill (IVY) network; he received funding from ALung Technologies. Dr. Siuba has disclosed that he does not have any potential conflicts of interest.
Comment on
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Paradoxical Positioning: Does "Head Up" Always Improve Mechanics and Lung Protection?Crit Care Med. 2022 Nov 1;50(11):1599-1606. doi: 10.1097/CCM.0000000000005631. Epub 2022 Jul 21. Crit Care Med. 2022. PMID: 35866650 Free PMC article.
References
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- Amato MB, Meade MO, Slutsky AS, et al.: Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015; 372:747–755
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- Guérin C, Papazian L, Reignier J, et al.; Investigators of the Acurasys and Proseva trials: Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilation in two randomized controlled trials. Crit Care. 2016; 20:384
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- Goligher EC, Costa ELV, Yarnell CY, et al.: Effect of lowering Vt on mortality in acute respiratory distress syndrome varies with respiratory system elastance. Am J Respir Crit Care Med 2021; 203:1378–1385
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- Dellamonica J, Lerolle N, Sargentini C, et al.: Effect of different seated positions on lung volume and oxygenation in acute respiratory distress syndrome. Intensive Care Med. 2013; 39:1121–1127
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- Richard JC, Maggiore SM, Mancebo J, et al.: Effects of vertical positioning on gas exchange and lung volumes in acute respiratory distress syndrome. Intensive Care Med. 2006; 32:1623–1626
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