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Prone Ventilation in Trauma Patients

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Respiratory System and Artificial Ventilation

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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).

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Author information

Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Hospitals in the Natural Parc Altmühltal, Eichstätt, Germany

    G. Voggenreiter

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  1. G. Voggenreiter
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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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© 2008 Springer

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Voggenreiter, G. (2008). Prone Ventilation in Trauma Patients. 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_14

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  • DOI: https://doi.org/10.1007/978-88-470-0765-9_14

  • 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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