TAILIEUCHUNG - Báo cáo y học: "Effects of thoraco-pelvic supports during prone position in patients with acute lung injury/acute respiratory distress syndrome: a physiological study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Effects of thoraco-pelvic supports during prone position in patients with acute lung injury/acute respiratory distress syndrome: a physiological study. | Available online http content 10 3 R87 Research Effects of thoraco-pelvic supports during prone position in patients with acute lung injury acute respiratory distress syndrome a physiological study Davide Chiumello1 Massimo Cressoni2 Milena Racagni2 Laura Landi2 Gianluigi Li Bassi2 Federico Polli2 Eleonora Carlesso2 and Luciano Gattinoni1 2 Open Access 1 Dipartimento di Anestesia e Rianimazione Fondazione IRCCS - Ospedale Maggiore Policlinico Mangiagalli Regina Elena Via F. Sforza 35 20122 Milan Italy 2Istituto di Anestesia e Rianimazione Università degli Studi di Milano Via F. Sforza 35 201 22 Milan Italy Corresponding author Luciano Gattinoni gattinon@ Received 2 Feb 2006 Revisions requested 23 Feb 2006 Revisions received 2 Apr 2006 Accepted 2 May 2006 Published 8 Jun 2006 Critical Care 2006 10 R87 doi cc4933 This article is online at http content 10 3 R87 2006 Chiumello et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction This study sought to assess whether the use of thoraco-pelvic supports during prone positioning in patients with acute lung injury acute respiratory distress syndrome ALI ARDS improves deteriorates or leaves unmodified gas exchange hemodynamics and respiratory mechanics. Methods We studied 11 patients with ALI ARDS sedated and paralyzed mechanically ventilated in volume control ventilation. Prone positioning with or without thoraco-pelvic supports was applied in a random sequence and maintained for a 1-hour period without changing the ventilation setting. In four healthy subjects the pressures between the body and the contact surface were measured with and without thoraco-pelvic supports. Oxygenation variables arterial and central

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