Efficacy of prone positioning ventilation in acute respiratory distress syndrome after acute Stanford type A aortic dissection surgery
- VernacularTitle:俯卧位通气在急性Stanford A型主动脉夹层术后急性呼吸窘迫综合征中的疗效
- Author:
Junhao XIE
1
;
Huilong CHEN
1
;
Juxiang WANG
1
;
Weiliang ZHENG
1
;
Chuang WU
1
;
Jingqian LIU
1
;
Xijie WU
1
Author Information
1. School of Medicine, Xiamen University, Xiamen Cardiovascular Hospital of Xiamen University, Xiamen, 361000, Fujian, P. R. China
- Publication Type:Journal Article
- Keywords:
Prone positioning;
acute Stanford type A aortic dissection;
acute respiratory distress syndrome
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2024;31(01):116-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of prone positioning ventilation in patients with acute respiratory distress syndrome (ARDS) after acute Stanford type A aortic dissection (STAAD) surgery. Methods From November 2019 to September 2021, patients with ARDS who was placed prone position after STAAD surgery in the Xiamen Cardiovascular Hospital of Xiamen University were collected. Data such as the changes of blood gas, respiratory mechanics and hemodynamic indexes before and after prone positioning, complications and prognosis were collected for statistical analysis. Results A total of 264 STAAD patients had surgical treatment, of whom 40 patients with postoperative ARDS were placed prone position. There were 37 males and 3 females with an average age of 49.88±11.46 years. The oxygen partial pressure, oxygenation index and peripheral blood oxygen saturation 4 hours and 12 hours after the prone positioning, and 2 hours and 6 hours after the end of the prone positioning were significantly improved compared with those before prone positioning ventilation (P<0.05). The oxygenation index 2 hours after the end of prone positioning which was less than 131.42 mm Hg, indicated that the patient might need ventilation two or more times of prone position. Conclusion Prone position ventilation for patients with moderate to severe ARDS after STAAD surgery is a safe and effective way to improve the oxygenation.
