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2016, Number 3

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Rev Cub Med Int Emerg 2016; 15 (3)

Prone ventilation in early stages of respiratory distress syndrome

Lezcano CGA, Corona JP, Rivero VR

Language: Spanish
References: 17
Page: 70-84
PDF size: 548.15 Kb.


ABSTRACT

Introduction: prone ventilation in the refractory acute respiratory distress syndrome has had success at the international level; the effect of its application in the early stages of the disease is unknown.
Objectives: to evaluate the effect of prone ventilation in the acute respiratory distress syndrome since its diagnosis as well as to identify the relationship among result of treatment and clinical evolution, oxygenation, respiratory mechanics, mechanical ventilation period, complications, organ failure, prognosis and state discharge.
Results: there was a significant improvement in the prone ventilation group (p=0.004) in oxygenation, reduction of some complications (21.53% vs. 78.46% group supine), emergency interventions (41.9% vs. 58.1% group supine), decrease in the mechanical ventilation period (p=0.012), improvement of the prognostic scores (p=0.05), organic dysfunction (p=0.028) and lung damage (p=0.013) as well as better evolution (p=0.012) at the seventh day.
Conclusions: prone ventilation in early stages of illness had an important role in the clinical evolution meantime it improved the oxygenation, mechanical ventilation time, incidence of complications, emergency interventions, organ dysfunction or failure and the prognosis of survival.


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