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10.1007/s00134-020-06306-w http://scihub22266oqcxt.onion/10.1007/s00134-020-06306-w 33169218!7652705!33169218     free     free     free Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 235.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Intensive+Care+Med 2020 ; 46 (12): 2385-2396 Nephropedia Template TP {{tp|p=33169218|t=2020. Prone position in ARDS patients: why, when, how and for whom |pdf=|usr=}}{{33169218}} gab.com Text Prone position in ARDS patients: why, when, how and for whom JO: Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33169218 #FOAvip In ARDS patients, the change from supine to prone position generates a more even distribution of the gas-tissue ratios along the dependent-nondependent axis and a more homogeneous distribution of lung stress and strain. The change to prone position is generally accompanied by a marked improvement in arterial blood gases, which is mainly due to a better overall ventilation/perfusion matching. Improvement in oxygenation and reduction in mortality are the main reasons to implement prone position in patients with ARDS. The main reason explaining a decreased mortality is less overdistension in non-dependent lung regions and less cyclical opening and closing in dependent lung regions. The only absolute contraindication for implementing prone position is an unstable spinal fracture. The maneuver to change from supine to prone and vice versa requires a skilled team of 4-5 caregivers. The most frequent adverse events are pressure sores and facial edema. Recently, the use of prone position has been extended to non-intubated spontaneously breathing patients affected with COVID-19 ARDS. The effects of this intervention on outcomes are still uncertain. Twit Text FOAVip Prone position in ARDS patients: why, when, how and for whom ????Intensive Care Med http://www.kidney.de/pget.php?&tw=1&pmid=33169218 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33169218 #FOAvip English Wikipedia <ref>{{Cite pmid|33169218}}</ref> Prone position in ARDS patients: why, when, how and for whom #MMPMID33169218 Guerin C; Albert RK; Beitler J; Gattinoni L; Jaber S; Marini JJ; Munshi L; Papazian L; Pesenti A; Vieillard-Baron A; Mancebo J Intensive Care Med 2020[Dec]; 46 (12): 2385-2396 PMID33169218show ga In ARDS patients, the change from supine to prone position generates a more even distribution of the gas-tissue ratios along the dependent-nondependent axis and a more homogeneous distribution of lung stress and strain. The change to prone position is generally accompanied by a marked improvement in arterial blood gases, which is mainly due to a better overall ventilation/perfusion matching. Improvement in oxygenation and reduction in mortality are the main reasons to implement prone position in patients with ARDS. The main reason explaining a decreased mortality is less overdistension in non-dependent lung regions and less cyclical opening and closing in dependent lung regions. The only absolute contraindication for implementing prone position is an unstable spinal fracture. The maneuver to change from supine to prone and vice versa requires a skilled team of 4-5 caregivers. The most frequent adverse events are pressure sores and facial edema. Recently, the use of prone position has been extended to non-intubated spontaneously breathing patients affected with COVID-19 ARDS. The effects of this intervention on outcomes are still uncertain. |Humans[MESH] |Lung Compliance/drug effects/physiology[MESH] |Prone Position/*physiology[MESH] |Respiratory Distress Syndrome/complications/*physiopathology[MESH]Prone position in ARDS patients: why, when, how and for whom (epmc).pdf DeepDyve Pubget Overpricing