Erschienen in:
28.06.2021 | COVID-19 | Letter
Zur Zeit gratis
Differential effects of prone position in COVID-19-related ARDS in low and high recruiters
verfasst von:
Martin Cour, David Bussy, Neven Stevic, Laurent Argaud, Claude Guérin
Erschienen in:
Intensive Care Medicine
|
Ausgabe 9/2021
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Excerpt
Prone position quickly imposed as a cornerstone in the management of patients with acute respiratory distress syndrome (ARDS) induced by coronavirus disease 2019 (COVID-19) [
1,
2]. The response to prone position, in terms of oxygenation and respiratory mechanics, would differ according to the potential for lung recruitment in supine position in COVID-19-ARDS [
3]. Recruitment-to-inflation ratio (R/I), which is measurable with almost all modern respirators, allows, at bedside, the distinction between patients with a low or high potential for lung recruitment [
4], including in those with COVID-19-ARDS [
5]. This tool may henceforth help clinicians to set adequate positive end-expiratory pressure (PEEP) levels in ARDS [
4]. Although not yet studied, the effects of other ventilatory strategies in ARDS should also depend on the R/I. Therefore, we conducted a prospective observational study to assess the effect of prone position in COVID-19-ARDS on respiratory mechanics and oxygenation according to the R/I ratio. …
