Cardiovascular Impact of Prone Positioning

Authors

  • X. Repessé Assistance publique–hôpitaux de Paris, hôpital universitaire Ambroise-Paré, service de réanimation, section thorax-pathologies vasculaires-abdomen-métabolisme
  • C. Charron Assistance publique–hôpitaux de Paris, hôpital universitaire Ambroise-Paré, service de réanimation, section thorax-pathologies vasculaires-abdomen-métabolisme
  • A. Vieillard-Baron University of Versailles Saint-Quentin-en-Yvelines, Faculté de médecine, Paris Île-de-France Ouest

DOI:

https://doi.org/10.1007/s13546-015-1030-1

Keywords:

Cardiac arrest, Cardiopulmonary resuscitation, Post-traumatic stress disorder, Family

Abstract

Prone positioning is a ventilatory strategy which improves the prognosis of patients with severe acute respiratory distress syndrome (ARDS). Alveolar recruitment and improvement of the ventilation/perfusion ratio are the main mechanisms responsible for improved oxygenation. Prone positioning is also responsible for a decrease in plateau pressure and PaCO2, and indirectly positive end-expiratory pressure (PEEP) limitation. Altogether, these effects ameliorate systemic hemodynamic status in general and right ventricular function in particular. This article reviews hemodynamic effects of prone positioning during ARDS and re-emphasizes the crucial role of protecting the right ventricle using prone positioning.

Downloads

Published

2015-02-27

How to Cite

Repessé, X., Charron, C., & Vieillard-Baron, A. (2015). Cardiovascular Impact of Prone Positioning. Médecine Intensive Réanimation, 24(2), 93–97. https://doi.org/10.1007/s13546-015-1030-1

Issue

Vol. 24 No. 2 (2015): Mars 2015 / Cardiovasculaire

Section

Update

Most read articles by the same author(s)