Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics
Prone positioning recently gain- ed more popularity from its use in COVID-19 management. It is gene-rally considered to improve respiratory mechanics via increased lung compliance. In surgery, prone positioning is typically encountered when it is a necessity to access certain posterior anatomic str...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2022-04-01
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| Series: | Anaesthesiology Intensive Therapy |
| Online Access: | https://www.termedia.pl/Respiratory-decompensation-with-proning-when-prone-positioning-can-worsen-respiratory-mechanics,118,46437,1,1.html |
| _version_ | 1797999662383235072 |
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| author | Marko Oydanich Rotem Naftalovich Andrew J. Iskander |
| author_facet | Marko Oydanich Rotem Naftalovich Andrew J. Iskander |
| author_sort | Marko Oydanich |
| collection | DOAJ |
| description | Prone positioning recently gain- ed more popularity from its use in COVID-19 management. It is gene-rally considered to improve respiratory mechanics via increased lung compliance. In surgery, prone positioning is typically encountered when it is a necessity to access certain posterior anatomic structures. Though certain post-operative complications from prone positioning are well known (e.g., postoperative vision loss), the potential intraoperative complications that it can have for respiratory compliance and O2 saturation, in the setting of general anaesthesia, are perhaps less familiar, as only a few studies showed improved respiratory mechanics in the setting of general anaesthesia [1–3] and one study showed that prone positioning led to a 30–35% drop in respiratory compliance under general anaesthesia [4]. As the following case illustrates, proning is a critical point in the intraoperative course as it can sometimes lead to negative respiratory sequelae disrupting homeostasis. |
| first_indexed | 2024-04-11T11:08:15Z |
| format | Article |
| id | doaj.art-20aaaf76160c40af8abd9e077c5b7270 |
| institution | Directory Open Access Journal |
| issn | 1642-5758 1731-2531 |
| language | English |
| last_indexed | 2024-04-11T11:08:15Z |
| publishDate | 2022-04-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Anaesthesiology Intensive Therapy |
| spelling | doaj.art-20aaaf76160c40af8abd9e077c5b72702022-12-22T04:28:10ZengTermedia Publishing HouseAnaesthesiology Intensive Therapy1642-57581731-25312022-04-0154218718910.5114/ait.2022.11373046437Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanicsMarko OydanichRotem NaftalovichAndrew J. IskanderProne positioning recently gain- ed more popularity from its use in COVID-19 management. It is gene-rally considered to improve respiratory mechanics via increased lung compliance. In surgery, prone positioning is typically encountered when it is a necessity to access certain posterior anatomic structures. Though certain post-operative complications from prone positioning are well known (e.g., postoperative vision loss), the potential intraoperative complications that it can have for respiratory compliance and O2 saturation, in the setting of general anaesthesia, are perhaps less familiar, as only a few studies showed improved respiratory mechanics in the setting of general anaesthesia [1–3] and one study showed that prone positioning led to a 30–35% drop in respiratory compliance under general anaesthesia [4]. As the following case illustrates, proning is a critical point in the intraoperative course as it can sometimes lead to negative respiratory sequelae disrupting homeostasis.https://www.termedia.pl/Respiratory-decompensation-with-proning-when-prone-positioning-can-worsen-respiratory-mechanics,118,46437,1,1.html |
| spellingShingle | Marko Oydanich Rotem Naftalovich Andrew J. Iskander Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics Anaesthesiology Intensive Therapy |
| title | Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics |
| title_full | Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics |
| title_fullStr | Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics |
| title_full_unstemmed | Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics |
| title_short | Respiratory decompensation with proning – when prone positioning can worsen respiratory mechanics |
| title_sort | respiratory decompensation with proning when prone positioning can worsen respiratory mechanics |
| url | https://www.termedia.pl/Respiratory-decompensation-with-proning-when-prone-positioning-can-worsen-respiratory-mechanics,118,46437,1,1.html |
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