Feasibility and effectiveness of prone position in morbidly obese ARDS patients: a case-control clinical study
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KeywordsPublic Health Body Mass Index Clinical Study Mechanical Ventilation Obese Patient
Morbidly obese patients (body mass index (BMI) ≥35 kg/m2) in PP with ARDS (PaO2/FiO2 ratio ≤200 mmHg) were matched to nonobese (BMI <30 kg/m2) ARDS patients in a case-control clinical study. The primary endpoints were safety and complications of PP; the second endpoints were the effect on oxygenation (PaO2/FiO2 ratio at the end of PP), length of mechanical ventilation and ICU stay, nosocomial infections and mortality.
PP seems safe in obese patients and may improve oxygenation more than in nonobese patients. Obese patients could be a subgroup of ARDS patients who may benefit most from PP.
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