EFFECTS OF PRONE POSITION IN ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS)
DOI:
https://doi.org/10.47820/recima21.v4i1.2523Keywords:
prone position, ventral decubitus, acute respiratory distress syndromeAbstract
Objective- This study aims to analyse the effects of the prone position in the treatment of the acute respiratory distress syndrome (ARDS). Methods- A systematic review of the literature based on the Prisma method was done, collecting the studies in the Scientific Electronic Library Online (SciELO) and on the National Center for Biotechnology Information (NCBI) site, on the PubMed database. We included articles related to the effects of the prone position in the treatment of SARA on adult patients that were in mechanical ventilation, published either in Portuguese or English within the years 2016 and 2022.We used the following associations with the boolean operators: Prone Position*AND Acute Respiratory Distress Syndrome NOT COVID*. Results- Among the main effects related to the prone position, these aspects are mentioned: the improvement of the PaO2/FiO2 relation, a homogeneous redistribution of the volume in the lungs, a decrease of the alveolar hyperdistention and the pulmonar colapse, with a consequent increase of the alveolar recruitment among the different areas of the lungs. We noted a difference in pronation time of the patient, varying from 16 to 24 hours. Conclusion- The prone position applied to patients who had acute SARA/SDRA and were mechanically ventilated enabled the improvement of the PaO2/FiO2 relation and other cardiopulmonary benefits. However, it is mandatory to have more studies for the standardization of the application of such technique.
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