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Prone Positioning of Patients with ARDS

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Respiratory System and Artificial Ventilation

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Abstract

Acute respiratory distress syndrome (ARDS) is characterised by non-cardiogenic pulmonary oedema that increases ventilation/perfusion heterogeneity, causes intrapulmonary shunt and severely impairs oxygenation. Amato et al. [1] demonstrated for the first time in an adult population with ARDS that the openlung approach has an impact on outcome. The strategy of these authors was to achieve and maintain maximal aeration of collapsed dependent lung regions (dorsal regions in a supine patient), since lung-recruitment strategies may be an important tool in the reduction of ventilator-induced lung injury (VILI) [2,3], In this respect, prone positioning has been safely used to improve oxygenation in a wide population of patients with ARDS [5–15].

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Author information

Authors and Affiliations

  1. Critical Care Center, Hospital de Sabadell, Institut Universitari Fundacio Parc Taulí, Universitat Autònoma de Barcelona, Barcelona, Spain

    L. Blanch

  2. Department of Perioperative Medicine, Intensive Care and Emergency, Cattinara Hospital, Trieste University School of Medicine, Trieste, Italy

    U. Lucangelo

Authors
  1. L. Blanch
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  2. U. Lucangelo
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Editor information

Editors and Affiliations

  1. Department of Perioperative Medicine Intensive Care and Emergency Cattinara Hospital, Trieste University School of Medicine, Trieste, Italy

    Umberto Lucangelo

  2. Department of Clinical Science, University of Insubria, Varese, Italy

    Paolo Pelosi

  3. Laboratory of Respiration Physiology Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

    Walter A. Zin

  4. TMB Laboratory Department of Bioengineering, Politecnico di Milano, Milan, Italy

    Andrea Aliverti

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Blanch, L., Lucangelo, U. (2008). Prone Positioning of Patients with ARDS. In: Lucangelo, U., Pelosi, P., Zin, W.A., Aliverti, A. (eds) Respiratory System and Artificial Ventilation. Springer, Milano. https://doi.org/10.1007/978-88-470-0765-9_13

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  • DOI: https://doi.org/10.1007/978-88-470-0765-9_13

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0764-2

  • Online ISBN: 978-88-470-0765-9

  • eBook Packages: MedicineMedicine (R0)

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