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01-06-2005 | Commentary

Prone position in mechanically ventilated patients – the hard or the soft way?

Author: Christian Putensen

Published in: Critical Care | Issue 3/2005

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 diappearance rate of indocyanin green (PDRICG) indicating inadequate heptosplanchnic function.

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Hering R, Wrigge H, Vorwerk R, Brensing KA, Schroder S, Zinserling J, Hoeft A, Spiegel TV, Putensen C: The effects of prone positioning on intraabdominal pressure and cardiovascular and renal function in patients with acute lung injury. Anesth Analg 2001, 92: 1226-1231.CrossRefPubMed

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Title: Prone position in mechanically ventilated patients – the hard or the soft way?
Author: Christian Putensen
Publication date: 01-06-2005
Publisher: BioMed Central
Published in: Critical Care / Issue 3/2005
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc3534

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Prone position in mechanically ventilated patients – the hard or the soft way?

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