Abstract:Objective To explore the impact of lateral position mechanical ventilation on blood oxygen and circulation of chest trauma patients with acute respiratory failure.Methods 20 chest trauma patients with acute respiratory failure were conducted lateral position mechanical ventilation from January 2014 to October 2015.Arterial blood gas,cycle indicator changes liked HR,MAP,CVP,CO,CI,SV and SVV before lateral position,1 h after lateral position and 1 h after recovery lateral position were tested.Results The arterial blood PaCO2had no obvious changes after change position.1 h after lateral position,the PaO2and PaO2/FiO2obvious increased than before lateral position (P<0.05).1 h after recovery lateral position,the PaO2and PaO2/FiO2still obvious increased (P<0.05);Changed position had no impact on HR,MBP,CVP,CO,CI,SV and SVV (P>0.05).Conclusion Lateral position mechanical ventilation can improve the oxygenation status of chest trauma patients with acute respiratory failure,but have any obvious impact on hemodynamics.
龙勇; 姜英; 李长罗; 谢明. 侧卧位机械通气对胸外伤急性呼吸衰竭患者血氧及循环的影响[J]. 中国当代医药, 2016, 23(17): 29-31.
YOU Yong; JIANG Ying; LI Chang-luo; XIE Ming. Impact of lateral position mechanical ventilation on blood oxygen and circulation of chest trauma patients with acute respiratory failure. 中国当代医药, 2016, 23(17): 29-31.
Kopterides P,Siempos II,Armaganidis A.Prone positioning in hypoxemic respiratory failure:meta-analysis of randomized controlled trials[J].J Crit Care,2009,24(1):89-100.
[7]
Cornejo RA,Diaz JC,Tobar EA,et al.Effects of prone positioning on lungprotection in patients with acute respiratory distress syndrome[J].Am J Respir Crit Care Med,2013,188 (4):440-448.
Guérin C,Reignier J,Richard JC,et al.Prone positioning in severe acute respiratory distress syndrome[J].N Engl J Med,2013,368(23):2159-2168.
[10]
Galiatsou E,Kostanti E,Svarna E,et al.Prone position augments recruitment and prevents alveolar overinflation in acute lung injury[J].Am J Respir Crit Care Med,2006,174(2):187-197.
[11]
Sud S,Friedrich JO,Taccone P,et al.Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia:systematic review and meta-analysis[J].Intensive Care Med,2010,36(4):585-599.
[12]
Gattinoni L,Carlesso E,Taccone P,et al.Prone positioning improves survival in severe ARDS:a pathophysiologic review and individual patient meta-analysis[J].Minerva Anestesiol,2010,76(6):448-454.
[13]
Tongyoo S,Vilaichone W,Ratanarat R,et al.The effect of lateral position on oxygenation in ARDS patients:apilot study[J].J Med Assoc Thai,2006,89(Suppl 5):s55-s61.