The effective application of ventilation at prone position on patients with severe acute respiratory distress syndrome at high altitude
10.3760/cma.j.issn.1672-7088.2019.09.014
- VernacularTitle: 俯卧位通气治疗在高原重度急性呼吸窘迫综合征中的应用效果
- Author:
Xiaolin SUN
1
;
Shiqin PAN
;
Hao WANG
;
Jinhai HAN
;
Xia ZHANG
Author Information
1. ICU of Qinghai Province People′s Hospital, Xi′ning 810007, China
- Publication Type:Journal Article
- Keywords:
Respiratory distress syndrome, adult;
High attitude;
Ventilation, prone position
- From:
Chinese Journal of Practical Nursing
2019;35(9):699-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effective application of ventilation at prone position on patients with severe acute respiratory distress syndrome(ARDS) at high altitude.
Methods:A total of 19 severe ARDS patients in ICU of Qinghai Province People's Hospital were enrolled from February in 2016 to February. in 2018, all of them ventilated at the prone position, several indicators were assessed:heart rate (HR), respiratory (R), mean arterial pressure (MAP); blood gas indicators: arterial oxygen partial pressure (PaO2), inhaled oxygen concentration (FiO2), carbon dioxide partial pressure (PaCO2), blood oxygen saturation (SpO2), oxygenation index (PaO2/FiO2), PH, lung compliance, PEEP and so on, which assessed before and 12h, 24h, 48h, 72h after the ventilation.
Results:FiO2 and PEEP significantly declined at 12 h, 24 h, 48 h, 72 h after ventilation at the prone position. HR, MAP, R, PaO2, PaCO2, SPO2, PaO2/FiO2, pH and lung compliance significantly improved (F=32.30,24.73, P < 0.05).
Conclusions:It was an effective method for ARDS patients to improve the oxygenation status and vital signs at the plateau with ventilation used at the prone position and probably nursing intervention, which have clinical application value.
