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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

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In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
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Directional Terms01:14

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Directional terms are essential for describing the relative locations of different body structures. For instance, an anatomist might describe one band of tissue as "inferior to" another, or a physician might describe a tumor as "superficial to" a deeper body structure. These terms often use comparative terms in pairs to trace out the relative locations of one body part to another or descriptions of body tissues like the deeper ones from superficially present with reference to...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Pneumothorax II: Pathophysiology01:08

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Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance...
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Pneumothorax-I01:26

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

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Prone position.

Claude Guérin1

  • 1Réanimation Médicale, Hôpital de la Croix Rousse, Hospices Civils de Lyon, Lyon, France.

Current Opinion in Critical Care
|December 25, 2013
PubMed
Summary
This summary is machine-generated.

Prone positioning significantly reduces mortality in severe acute respiratory distress syndrome (ARDS) patients. Early and prolonged use of this intervention is recommended for improved survival outcomes.

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Area of Science:

  • Critical Care Medicine
  • Pulmonary Medicine
  • Respiratory Physiology

Background:

  • Prone positioning is a lung-protective strategy for patients with acute respiratory distress syndrome (ARDS).
  • Previous evidence from meta-analyses suggested benefits in subgroups of ARDS patients.
  • Recent clinical trials provide further data on the efficacy of prone positioning.

Purpose of the Study:

  • To review the current evidence on prone positioning in ARDS.
  • To evaluate the impact of recent findings on clinical practice recommendations.
  • To assess the role of prone positioning in improving survival in severe ARDS.

Main Methods:

  • Analysis of existing meta-analyses on prone positioning in ARDS.
  • Inclusion of data from a recent large randomized controlled trial.
  • Review of mortality data at 28 and 90 days.

Main Results:

  • A recent trial demonstrated a significant reduction in 28-day mortality (32.8% vs. 16%) in severe ARDS patients treated with prone positioning.
  • Mortality benefits were sustained at 90-day follow-up.
  • The trial included patients with ARDS severity criteria confirmed 12-24 hours after onset.

Conclusions:

  • Strong evidence supports the use of prone positioning in severe ARDS.
  • Early initiation and prolonged duration of prone positioning are recommended.
  • Prone positioning is a critical intervention for improving survival in ARDS.