• Crit Care · Jun 2005

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    Prone position in mechanically ventilated patients -- the hard or the soft way?

    • Christian Putensen.
    • Department of Anesthesiology and Intensive Care Medicine, University of Bonn, Bonn, Germany. Christian.Putensen@ukb.uni-bonn.de
    • Crit Care. 2005 Jun 1;9(3):253-4.

    AbstractProne positioning may even in patients without abdominal hypertension result in an increased intra-abdominal pressure (IAP). Previous research could not demonstrate a marked increase in IAP associated with cardiovascular, renal, or hepato-splanchnic dysfunction when patients were proned in air-cushioned beds. Michelet and colleagues in this issue of Critical Care report that the increase in IAP in the prone position depends on the used mattress type. Compared with air-cushion beds, conventional foam mattresses resulted in a greater increase in IAP which was associated with a decrease in the plasma disappearance rate of indocyanin green (PDRICG) indicating inadequate heptosplanchnic function.

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