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Am. J. Respir. Crit. Care Med. · May 2000
The prone position eliminates compression of the lungs by the heart.
- R K Albert and R D Hubmayr.
- Medical Service, Denver Health Medical Center, and Department of Medicine, University of Colorado Health Sciences Center, Denver, Colorado, USA. Ralbert@dhha.org
- Am. J. Respir. Crit. Care Med. 2000 May 1; 161 (5): 1660-5.
AbstractThe prone position improves gas exchange in many patients with ARDS. Animal studies have indicated that turning prone restores ventilation to dorsal lung regions without markedly compromising ventral regions. To investigate a potential mechanism by which this might occur, the relative volume of lung located directly under the heart was measured in the supine and prone positions in seven patients. Four axial tomographic sections between the carina and the diaphragm were analyzed (Sections 1 through 4). When supine, the percent of the total lung volume located under the heart increased from 7 +/- 4% to 42 +/- 8%, and from 11 +/- 4% to 16 +/- 4% in Sections 1 through 4, in the left and right lungs, respectively. When prone, the percent of left and right lung volume located under the heart was
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