Frontiers in Medical Science Research, 2022, 4(10); doi: 10.25236/FMSR.2022.041001.
Hu Juan, Gao Dongxue, Zhang Yanyan
The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, Guangdong, 519000, China
To understand the effect of supine ventilation in clinical nursing. Application method: 15 cases of respiratory failure and ARDS patients in ICU of our department were treated with recumbent ventilation and nursing measures in recent two years. Effect evaluation: after treatment, 12 patients showed significant improvement of symptoms, and 9 patients were successfully transferred to the department for further treatment. Conclusion: supine ventilation can improve the patient's hypoxia symptoms, increase functional residual air volume, improve ventilation blood flow ratio, reduce mediastinal and cardiac pressure on the lungs, and improve the compliance of the thoracic cavity.
Prone position ventilation; Respiratory failure; ARDS; Clinical nursing
Hu Juan, Gao Dongxue, Zhang Yanyan. Experience of prone position ventilation in clinical nursing application. Frontiers in Medical Science Research (2022) Vol. 4, Issue 10: 1-4. https://doi.org/10.25236/FMSR.2022.041001.
[1] Ma Xiaochun, Wang Chen, Fang Qiang, Liu Dawei, Qiu Haibo, Qin Yingzhi, Xi Xiuming, Li Yimin. Guidelines for Diagnosis and Treatment of Acute Lung Injury/Acute Respiratory Distress Syndrome (2006) [J]. China Critical Care Emergency Medicine, 2006(12):706-710.
[2] Sachin Sud; Jan O. Friedrich; Paolo Taccone,et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis[J]. Intensive Care MedicineVolume 36, Issue 4. 2010. PP. 585-599.
[3] MARGARET A. PIEHL; ROBERT S. BROWN. Use of extreme position changes in acute respiratory failure [J]. Critical Care MedicineVolume 4, Issue 1. 1976. PP 13-14.
[4] Jesús Villar; Demet Sulemanji; Robert M. Kacmarek. The acute respiratory distress syndrome: incidence and mortality, has it changed? [J]. Current Opinion in Critical CareVolume 20, Issue 1. 2014. PP 3-9.
[5] Lei Guangfeng, Zhang Xueqing, Zhang Suxia. Meta-analysis of prone and supine ventilation in ALI/ARDS patients [J]. Journal of nursing science, 2016, 031(022):87-92.
[6] Ding Huafeng. Meta-analysis of the treatment of acute respiratory distress syndrome with prone position ventilation [D]. Shanghai Jiaotong University, 2014.
[7] Xuan Guoping, Zhang Lin, Zhang Jin, et al. Comparative study of prone position ventilation in the treatment of pulmonary/exogenous ARDS [J]. Journal of clinical pulmonary medicine, 2015, 20 (03): 474-477.
[8] Romero Carlos M; Cornejo Rodrigo A; Gálvez L Ricardo,et al. Extended prone position ventilation in severe acute respiratory distress syndrome: a pilot feasibility study[J]. Journal of Critical CareVolume 24, Issue 1. 2009. PP 81-8.