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[Respiratory care with prone position for diffuse atelectasis in critically ill patients]
Y Shichinohe1, Y Ujike, M Kurihara
1Division of Critical Care Medicine, Sapporo Medical College.
Kokyu to Junkan. Respiration & Circulation
|January 1, 1991
Summary
Prone positioning improved respiratory function in critically ill patients with diffuse dorsal atelectasis. This respiratory care strategy offers significant utility for patients on long-term mechanical ventilation.
Area of Science:
- Critical Care Medicine
- Respiratory Therapy
- Pulmonology
Background:
- Diffuse dorsal atelectasis is common in critically ill patients undergoing prolonged mechanical ventilation.
- Conventional therapies like PEEP and Sigh show limited efficacy in resolving this condition.
Purpose of the Study:
- To evaluate the effectiveness of prone positioning as a respiratory care intervention for severe respiratory distress with diffuse dorsal atelectasis.
Main Methods:
- Respiratory care involving prone positioning was administered to 7 critically ill patients.
- Patients were maintained in the prone position for durations ranging from 6 to 163 hours (mean 35.8 hours).
Main Results:
- Significant improvement in Respiratory Indexes (RI) was observed (mean 2.97).
- Ventilation efficiency improved, while static lung compliance remained unchanged.
- Potential mechanisms include improved pulmonary V/Q ratio, altered diaphragmatic movement, and enhanced sputum clearance.
Conclusions:
- Prone positioning respiratory care is highly beneficial for critically ill patients suffering from diffuse dorsal atelectasis.
- The intervention demonstrated utility without reported complications.