The influence of different postures on the efficacy of mechanical ventilation in critically ill patients with 2009 H1N1 influenza
10.3760/cma.j.issn.1671-7368.2010.08.016
- VernacularTitle:甲型H1N1流行性感冒危重症患者不同体位机械通气效果的临床观察
- Author:
Zhigang ZHANG
;
Bin SHI
;
Bin LI
- Publication Type:Journal Article
- Keywords:
Influenza A virus,H1N1 subtype;
Posture;
Respiration,artificial
- From:
Chinese Journal of General Practitioners
2010;09(8):551-552
- CountryChina
- Language:Chinese
-
Abstract:
28 patients with acute respiratory distress syndrome caused by 2009 H1N1 influenza were mechanically ventilated for 1 hour in the supine, lateral, semi-supine, lateral prone, and prone position respectively. Changes of heart rate, respiratory parameters and arterial partial pressure of oxygen ( PaO2 )were measured. There were no significant differences ( P ＞ 0. 05 ) of heart rate and mean arterial pressure among these postures. Lateral prone ( P ＜ 0. 05 ) and prone posture ( P ＜ 0. 01 ) , however, can both significantly improve tidal volume, mean airway pressure, PaO2, static lung compliance and oxygenation index. We concluded that mechanical ventilation delivered in the prone position can remarkably improve oxygenation in patients with H1N1 influenza-associated acute lung injury.
