Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study
Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure...
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| Autor*in: |
Michelet, Pierre [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2005 |
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© Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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| Übergeordnetes Werk: |
Enthalten in: Critical care - London : BioMed Central, 1997, 9(2005), 3 vom: 31. März |
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| Übergeordnetes Werk: |
volume:9 ; year:2005 ; number:3 ; day:31 ; month:03 |
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| DOI / URN: |
10.1186/cc3513 |
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| Katalog-ID: |
SPR029763797 |
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| 520 | |a Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. | ||
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| 650 | 4 | |a Acute Respiratory Distress Syndrome |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Indocyanine Green |7 (dpeaa)DE-He213 | |
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| 700 | 1 | |a Sainty, Jean-Marie |4 aut | |
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| 700 | 1 | |a Papazian, Laurent |4 aut | |
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10.1186/cc3513 doi (DE-627)SPR029763797 (SPR)cc3513-e DE-627 ger DE-627 rakwb eng Michelet, Pierre verfasserin aut Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. Prone Position (dpeaa)DE-He213 Acute Respiratory Distress Syndrome (dpeaa)DE-He213 Indocyanine Green (dpeaa)DE-He213 Medical Intensive Care Unit (dpeaa)DE-He213 Extravascular Lung Water (dpeaa)DE-He213 Roch, Antoine aut Gainnier, Marc aut Sainty, Jean-Marie aut Auffray, Jean-Pierre aut Papazian, Laurent aut Enthalten in Critical care London : BioMed Central, 1997 9(2005), 3 vom: 31. März (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:9 year:2005 number:3 day:31 month:03 https://dx.doi.org/10.1186/cc3513 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2005 3 31 03 |
| spelling |
10.1186/cc3513 doi (DE-627)SPR029763797 (SPR)cc3513-e DE-627 ger DE-627 rakwb eng Michelet, Pierre verfasserin aut Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. Prone Position (dpeaa)DE-He213 Acute Respiratory Distress Syndrome (dpeaa)DE-He213 Indocyanine Green (dpeaa)DE-He213 Medical Intensive Care Unit (dpeaa)DE-He213 Extravascular Lung Water (dpeaa)DE-He213 Roch, Antoine aut Gainnier, Marc aut Sainty, Jean-Marie aut Auffray, Jean-Pierre aut Papazian, Laurent aut Enthalten in Critical care London : BioMed Central, 1997 9(2005), 3 vom: 31. März (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:9 year:2005 number:3 day:31 month:03 https://dx.doi.org/10.1186/cc3513 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2005 3 31 03 |
| allfields_unstemmed |
10.1186/cc3513 doi (DE-627)SPR029763797 (SPR)cc3513-e DE-627 ger DE-627 rakwb eng Michelet, Pierre verfasserin aut Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. Prone Position (dpeaa)DE-He213 Acute Respiratory Distress Syndrome (dpeaa)DE-He213 Indocyanine Green (dpeaa)DE-He213 Medical Intensive Care Unit (dpeaa)DE-He213 Extravascular Lung Water (dpeaa)DE-He213 Roch, Antoine aut Gainnier, Marc aut Sainty, Jean-Marie aut Auffray, Jean-Pierre aut Papazian, Laurent aut Enthalten in Critical care London : BioMed Central, 1997 9(2005), 3 vom: 31. März (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:9 year:2005 number:3 day:31 month:03 https://dx.doi.org/10.1186/cc3513 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2005 3 31 03 |
| allfieldsGer |
10.1186/cc3513 doi (DE-627)SPR029763797 (SPR)cc3513-e DE-627 ger DE-627 rakwb eng Michelet, Pierre verfasserin aut Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. Prone Position (dpeaa)DE-He213 Acute Respiratory Distress Syndrome (dpeaa)DE-He213 Indocyanine Green (dpeaa)DE-He213 Medical Intensive Care Unit (dpeaa)DE-He213 Extravascular Lung Water (dpeaa)DE-He213 Roch, Antoine aut Gainnier, Marc aut Sainty, Jean-Marie aut Auffray, Jean-Pierre aut Papazian, Laurent aut Enthalten in Critical care London : BioMed Central, 1997 9(2005), 3 vom: 31. März (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:9 year:2005 number:3 day:31 month:03 https://dx.doi.org/10.1186/cc3513 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2005 3 31 03 |
| allfieldsSound |
10.1186/cc3513 doi (DE-627)SPR029763797 (SPR)cc3513-e DE-627 ger DE-627 rakwb eng Michelet, Pierre verfasserin aut Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study 2005 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. Prone Position (dpeaa)DE-He213 Acute Respiratory Distress Syndrome (dpeaa)DE-He213 Indocyanine Green (dpeaa)DE-He213 Medical Intensive Care Unit (dpeaa)DE-He213 Extravascular Lung Water (dpeaa)DE-He213 Roch, Antoine aut Gainnier, Marc aut Sainty, Jean-Marie aut Auffray, Jean-Pierre aut Papazian, Laurent aut Enthalten in Critical care London : BioMed Central, 1997 9(2005), 3 vom: 31. März (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:9 year:2005 number:3 day:31 month:03 https://dx.doi.org/10.1186/cc3513 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2005 3 31 03 |
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Enthalten in Critical care 9(2005), 3 vom: 31. März volume:9 year:2005 number:3 day:31 month:03 |
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Michelet, Pierre misc Prone Position misc Acute Respiratory Distress Syndrome misc Indocyanine Green misc Medical Intensive Care Unit misc Extravascular Lung Water Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study |
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influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ards: a randomized crossover study |
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Influence of support on intra-abdominal pressure, hepatic kinetics of indocyanine green and extravascular lung water during prone positioning in patients with ARDS: a randomized crossover study |
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Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
| abstractGer |
Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
| abstract_unstemmed |
Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. Conversely, the type of support did not influence EVLW or oxygenation. © Michelet et al.; licensee BioMed Central Ltd. 2005. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( |
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This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction Prone positioning (PP) on an air-cushioned mattress is associated with a limited increase in intra-abdominal pressure (IAP) and an absence of organ dysfunction. The respective influence of posture by itself and the type of mattress on these limited modifications during the PP procedure remains unclear. The aim of this study was to evaluate whether the type of support modifies IAP, extravascular lung water (EVLW) and the plasma disappearance rate of indocyanine green ($ PDR_{ICG} $) during PP. Methods A prospective, randomized, crossover study of 20 patients with acute respiratory distress syndrome (ARDS) was conducted in a medical intensive care unit in a teaching hospital. Measurements were made at baseline and repeated after 1 and 6 hours of two randomized periods of 6 hours of PP with one of two support types: conventional foam mattress or air-cushioned mattress. Results After logarithmic transformation of the data, an analysis of variance (ANOVA) showed that IAP and $ PDR_{ICG} $ were significantly influenced by the type of support during PP with an increase in IAP (P < 0.05 by ANOVA) and a decrease in $ PDR_{ICG} $ on the foam mattress (P < 0.05 by ANOVA). Conversely, the measurements of EVLW did not show significant modification between the two supports whatever the posture. The ratio of the arterial oxygen tension to the fraction of inspired oxygen significantly increased in PP (P < 0.0001 by ANOVA) without any influence of the support. Conclusion In comparison with a conventional foam mattress, the use of an air-cushioned mattress limited the increase in IAP and prevented the decrease in $ PDR_{ICG} $ related to PP in patients with ARDS. 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