Prone positioning in pediatric acute respiratory distress syndrome failure (neonate excluded): a narrative review

Authors

  • Jérôme Rambaud Service de réanimation pédiatrique et néonatale, Hôpital Armand-Trousseau, APHP Sorbonne Université, Paris.U955 - IMRB, Inserm, UPEC, Ecole Nationale Vétérinaire d'Alfort, 7 avenue du Général de Gaulle, 94700, Maisons-Alfort, France
  • Florent Baudin Réanimation pédiatrique, Hospices Civils de Lyon, Hôpital Femme Mère Enfant, F- 69500 Bron, France.Agressions Pulmonaires et Circulatoires dans le Sepsis (APCSe), VetAgro Sup, Université de Lyon, F-69280 Marcy l’étoile, France
  • Pierre-Louis Léger Service de réanimation pédiatrique et néonatale, Hôpital Armand-Trousseau, APHP Sorbonne Université, Paris.U955 - IMRB, Inserm, UPEC, Ecole Nationale Vétérinaire d'Alfort, 7 avenue du Général de Gaulle, 94700, Maisons-Alfort, France https://orcid.org/0000-0001-5234-9106
  • Nithiya Ung Service d’anesthésie pédiatrique et néonatale, Hôpital Armand-Trousseau, APHP Sorbonne Université, Paris, France https://orcid.org/0000-0002-6492-2667

DOI:

https://doi.org/10.37051/mir-00058

Keywords:

- prone positioning ARDS, respiratory distress, pediatric

Abstract

Prone positioning is an increasing practice in the management of acute respiratory distress in children. Indeed, despite the lack of positive studies evaluating the efficacy of this postural treatment in the pediatric population; the publication of several adult studies highlighting an improvement of the outcome of patients with respiratory distress syndrome, who have benefited from prolonged prone decubitus run, has largely promoted the use of this practice in children. However, children's respiratory physiology differs strongly to that of adults. Moreover, this function evolves over time to get closer to that of the adult. As a result, the use of the prone position may not have the same effects as in the adult population depending on the age of the children. Indeed, even if its implementation is simple and carries little risk, the absence of a positive paediatric study may raise questions about its effectiveness. The objective of this review is to provide an overview of the physiological and clinical studies that have been conducted in the paediatric population, drawing a parallel with adult data.

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Published

2021-03-18

How to Cite

Rambaud, J., Baudin, F., Léger, P.-L., & Ung, N. (2021). Prone positioning in pediatric acute respiratory distress syndrome failure (neonate excluded): a narrative review. Médecine Intensive Réanimation. https://doi.org/10.37051/mir-00058

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