Prone ventilation, sometimes called prone positioning or proning refers to mechanical ventilation with the patient lying face-down (prone). Decremental PEEP trials confirmed the need for high PEEP (17.9 (SD ± 3.9) mbar) for optimal oxygenation, while driving pressures remained low. Prone ventilation — Prone ventilation involves ventilating patients with low tidal volume (V T) ventilation in the prone position (as opposed to the more commonly used supine position). In event of tie, choose lowest PEEP at best driving pressure. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Prone positioning (also known as ‘proning’, ‘prone manoeuvre’ or ‘prone ventilation’) refers to mechanical ventilation with patients positioned in prone position in contrast of standard supine (flat or semi-recumbent) position. This trial, and subsequent meta-analyses, support the role of prone positioning as an effective therapy to reduce mortality in severe ARDS, particularly when applied early with other lung-protective strategies. Gattinoni et al, 2001). Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. 1–3 The effects of the prone posture on gas exchange are complex and related to alterations in the distribution of alveolar ventilation and blood flow, improved matching of local ventilation and perfusion, and reduction in regions of low ventilation/perfusion ratios. Set PEEP = Best PEEP + 2cmH. V
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