Effects of the prone position on arterial blood gas analysis and respiratory parameters of acute respiratory distress syndrome patients:An observational retrospective study  

作　　者：Furkan Tontu Baris Yildiz Sinan Asar Gulsum Oya Hergunsel Zafer Cukurova 

机构地区：[1]Intensive Care Unit,Basaksehir City Hospital,Istanbul,Turkey [2]Intensive Care Unit,Bakırköy Dr.Sadi Konuk Training and Research Hospital,Istanbul,Turkey

出　　处：《Journal of Acute Disease》2023年第3期107-113,共7页急性病杂志（英文版）

摘　　要：Objective:To investigate the effect of the first prone position on arterial blood gas analysis and respiratory parameters of acute respiratory distress syndrome(ARDS)patients with and without COVID.Methods:This study was conducted retrospectively with 22 COVID-ARDS and 22 non-COVID ARDS patients,who were placed in a prone position for at least 16 hours on the first day at the intensive care unit admission,and arterial blood gas analysis was taken in the pre-prone,prone and post-prone periods.Results:PaO2 were significantly increased in the pre-prone vs.prone comparison in both groups,but the increase in the PaO2/FiO2 ratio was not significant.In comparing the pre-prone vs.post-prone PaO2/FiO2 ratios,there was a significant difference only in the non-COVID ARDS group.Conclusions:The improved oxygenation provided by prone positioning is more permanent with the“post-prone effect”in non-COVID ARDS patients.This can be attributed to the differences in the pathogenesis of the two ARDS types.

关 键 词：Respiratory distress syndrome Prone position Intensive Care Units RESPIRATION Ventilation OXYGENATION 

分 类 号：R563.8[医药卫生—呼吸系统] R459.7[医药卫生—内科学]