Application and precautions of prone position ventilation in pediatric acute respiratory distress syndrome
10.3760/cma.j.issn.1673-4912.2022.07.001
- VernacularTitle:俯卧位通气在儿童急性呼吸窘迫综合征的应用及注意事项
- Author:
Yueqiang FU
1
;
Feng XU
Author Information
1. 重庆医科大学附属儿童医院重症医学科，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿科学重庆市重点实验室，重庆 400014
- Keywords:
Prone position ventilation;
Pediatric acute respiratory distress syndrome;
Mortality;
Contraindication;
Complication
- From:
Chinese Pediatric Emergency Medicine
2022;29(7):481-485
- CountryChina
- Language:Chinese
-
Abstract:
Prone position ventilation(PPV) is an effective treatment for moderate to severe pediatric acute respiratory distress syndrome(PARDS) and should be used in the early stage. PPV can improve oxygenation and reduce mortality.However, at present, the rate of application of PPV in moderate to severe PARDS is still low, which may be related to the insufficient understanding of its therapeutic effect and the lack of trained and skilled staff.Prone operation requires the coordinated efforts of doctors and nurses.Three to five medical personnel are required to participate in this routine operation, and the endotracheal tube and various invasive tubes must be carefully fixed.The safety of children during the prone operation should be guaranteed, and the extubation, migration or kinking of invasive pipelines must be avoided.Children receiving extracorporeal membrane oxygenation can be ventilated in prone position, but additional operators are required during prone operation.Medical staff should receive training related to the prone operation, master the contraindications of PPV, and avoid related complications.After the outbreak of COVID-19, the application of PPV has gradually increased.The key research progress of PPV in acute respiratory distress syndrome mostly comes from the adult field.More clinical studies should be carried out on the use of PPV in pediatrics in the future, so as to better treat PARDS.
