Prone Positioning of Patients with ARDS

  • L. Blanch
  • U. Lucangelo


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, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15].


Lung Injury Acute Lung Injury Prone Position Acute Respiratory Distress Syndrome Acute Respiratory Failure 
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Copyright information

© Springer 2008

Authors and Affiliations

  • L. Blanch
    • 1
  • U. Lucangelo
    • 2
  1. 1.Critical Care Center, Hospital de Sabadell, Institut Universitari Fundacio Parc TaulíUniversitat Autònoma de BarcelonaBarcelonaSpain
  2. 2.Department of Perioperative Medicine, Intensive Care and Emergency, Cattinara HospitalTrieste University School of MedicineTriesteItaly

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