Effects of Prone Positioning for Patients with Acute Respiratory Distress Syndrome Caused by Pulmonary Contusion: A Single-Center Retrospective Study

IF 2.1 4区 医学 Q3 RESPIRATORY SYSTEM
Xiaoyi Liu, Hui Liu, Shilian Liu, Wen-zhu Zhou, Qing Lan, J. Duan, Xue Li, Xiangde Zheng
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引用次数: 0

Abstract

Background The effects of prone positioning (PP) on patients with acute respiratory distress syndrome (ARDS) caused by pulmonary contusion (PC) are unclear. We sought to determine the efficacy of PP among patients whose ARDS was caused by PC. Methods A retrospective observational study was performed at an intensive care unit (ICU) from January 2017 to June 2021. ARDS patients with PaO2/FiO2 (P/F) < 150 mmHg were enrolled. During the study period, we enrolled 121 patients in the PP group and 117 in the control group. The changes in vital signs, laboratory tests, and compliance of the respiratory system (Crs) were recorded for 3 consecutive days. The mechanical ventilation time, duration of ICU stay, complications, extubation rate, 28-day ventilator-free days, and mortality were also recorded. Results In the PP group, the P/F and Crs increased over time. Compared to the control group, the P/F and Crs improved in the PP group over 3 consecutive days (P < 0.05). Furthermore, the PP group also had shorter total mechanical ventilation time (5.1 ± 1.4 vs. 9.3 ± 3.1 days, P < 0.05) and invasive ventilation time (4.9 ± 1.2 vs. 8.7 ± 2.7 days, P < 0.05), shorter ICU stay (7.4 ± 1.8 vs. 11.5 ± 3.6days, P < 0.05), higher extubation rate (95.6% vs. 84.4%, P < 0.05), less atelectasis (15 vs. 74, P < 0.05) and pneumothorax (17 vs. 24, P > 0.05), more 28-day ventilator-free days (21.6 ± 5.2 vs. 16.2 ± 7.2 days, P < 0.05), and lower mortality (4.4% vs. 13.3%, P < 0.05). Conclusions Among PC cases with moderate to severe ARDS, PP can correct hypoxemia more quickly, improve Crs, reduce atelectasis, increase the extubation rate, shorten mechanical ventilation time and length of ICU stay, and reduce mortality.
俯卧位对肺挫伤引起的急性呼吸窘迫综合征患者的影响:一项单中心回顾性研究
背景俯卧位(PP)对肺挫伤引起的急性呼吸窘迫综合征(ARDS)患者的影响尚不清楚。我们试图确定PP在由PC引起的ARDS患者中的疗效。方法2017年1月至2021年6月在重症监护室(ICU)进行了一项回顾性观察性研究。伴有PaO2/FiO2(P/F)的ARDS患者  0.05),更多的28天无呼吸机天数(21.6 ± 5.2对16.2 ± 结论PC合并中重度ARDS患者,PP能更快地纠正低氧血症,改善Crs,减少肺不张,提高拔管率,缩短机械通气时间和ICU住院时间,降低死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Canadian respiratory journal
Canadian respiratory journal 医学-呼吸系统
CiteScore
4.20
自引率
0.00%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Canadian Respiratory Journal is a peer-reviewed, Open Access journal that aims to provide a multidisciplinary forum for research in all areas of respiratory medicine. The journal publishes original research articles, review articles, and clinical studies related to asthma, allergy, COPD, non-invasive ventilation, therapeutic intervention, lung cancer, airway and lung infections, as well as any other respiratory diseases.
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