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Prone Ventilation in Trauma Patients

  • G. Voggenreiter

Abstract

Patients in extremis because of trauma-related massive chest injury require expedient evaluation and prompt intervention. The initial pathophysiology relates to the significant intrapulmonary shunting caused by disruption of pulmonary capillaries and extravasation into the alveolar spaces. Disproportionate or unilateral lung involvement needs measures more technical than general supportive care. Independent lung ventilation (mostly with unilateral lung involvement) and other strategies, such as inhaled nitric oxide, prone positioning, partial liquid ventilation, and extracorporeal membrane oxygenation (ECMO), have had good results. Intensivists confronted with this clinical subset may consider using these strategies as alternative/adjunctive options for optimising respiratory and haemodynamic status in the supportive management of trauma-related acute lung injury (ALI) and adult respiratory distress syndrome (ARDS).

Keywords

Acute Lung Injury Prone Position Acute Respiratory Distress Syndrome Cerebral Perfusion Pressure Respir Crit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer 2008

Authors and Affiliations

  • G. Voggenreiter
    • 1
  1. 1.Department of Orthopaedic and Trauma SurgeryHospitals in the Natural Parc AltmühltalEichstättGermany

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