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Annals of Intensive Care
Published in: Annals of Intensive Care 1/2017

Open Access 01-12-2017 | Research

Prone positioning in acute respiratory distress syndrome after abdominal surgery: a multicenter retrospective study

SAPRONADONF (Study of Ards and PRONe position After abDOmiNal surgery in France)

Authors: Stéphane Gaudry, Samuel Tuffet, Anne-Claire Lukaszewicz, Christian Laplace, Noémie Zucman, Marc Pocard, Bruno Costaglioli, Simon Msika, Jacques Duranteau, Didier Payen, Didier Dreyfuss, David Hajage, Jean-Damien Ricard

Published in: Annals of Intensive Care | Issue 1/2017

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Abstract

Background

The recent demonstration of prone position’s strong benefit on patient survival has rendered proning a major therapeutic intervention in severe ARDS. Uncertainties remain as to whether or not ARDS patients in the postoperative period of abdominal surgery should be turned prone because of the risk of abdominal complications. Our aim was to investigate the prevalence of surgical complications between patients with and without prone position after abdominal surgery.

Methods

This study was a multicenter retrospective cohort of patients with ARDS in a context of recent abdominal surgery. Primary outcome was the number of patients who had at least one surgical complication that could be induced or worsened by prone position. Secondary outcomes included effects of prone position on oxygenation. Data from the prone group were compared with those from the supine group (not having undergone at least a prone position session).

Results

Among 98 patients included, 36 (37%) had at least one prone position session. The rate of surgical complications induced or worsened by prone position did not differ between prone and supine groups [respectively, 14 (39%) vs 27 (44%); p = 0.65]. After propensity score application, there was no significant difference between the two groups (OR 0.72 [0.26–2.02], p = 0.54). Revision surgery did not differ between the groups. The first prone session significantly increased PaO2/FiO2 ratio from 95 ± 47 to 189 ± 92 mmHg, p < 0.0001.

Conclusion

Prone position of ARDS patients after abdominal surgery was not associated with an increased rate of surgical complication. Intensivists should not refrain from proning these patients.
Appendix
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Metadata
Title
Prone positioning in acute respiratory distress syndrome after abdominal surgery: a multicenter retrospective study
SAPRONADONF (Study of Ards and PRONe position After abDOmiNal surgery in France)
Authors
Stéphane Gaudry
Samuel Tuffet
Anne-Claire Lukaszewicz
Christian Laplace
Noémie Zucman
Marc Pocard
Bruno Costaglioli
Simon Msika
Jacques Duranteau
Didier Payen
Didier Dreyfuss
David Hajage
Jean-Damien Ricard
Publication date
01-12-2017
Publisher
Springer Paris
Published in
Annals of Intensive Care / Issue 1/2017
Electronic ISSN: 2110-5820
DOI
https://doi.org/10.1186/s13613-017-0235-z

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