Prone Position in Mechanically Ventilated Patients -- the Hard or the Soft Way?

Overview

Journal Crit Care

Specialty Critical Care

Date 2005 Jul 1

PMID 15987415

Citations 1

Authors

Christian Putensen

Affiliations

Soon will be listed here.

Abstract

Prone positioning may even in patients without abdominal hypertension result in an increased intra-abdominal pressure (IAP). Previous research could not demonstrate a marked increase in IAP associated with cardiovascular, renal, or hepato-splanchnic dysfunction when patients were proned in air-cushioned beds. Michelet and colleagues in this issue of Critical Care report that the increase in IAP in the prone position depends on the used mattress type. Compared with air-cushion beds, conventional foam mattresses resulted in a greater increase in IAP which was associated with a decrease in the plasma disappearance rate of indocyanin green (PDRICG) indicating inadequate heptosplanchnic function.

Citing Articles

The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal.

Depauw P, Groen R, van Loon J, Peul W, Malbrain M, De Waele J Acta Neurochir (Wien). 2019; 161(5):855-864.

PMID: 30911831 PMC: 6483957. DOI: 10.1007/s00701-019-03868-7.

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