Effect of prone position on right ventricular dysfunction due to pulmonary embolism assessed by speckle tracking echocardiography

Cheong, Issac; Avanzato, Lucila; Bermeo, Milton; Mazzola, María Virginia; Baiona, Gastón Adrián; Santagiuliana, María Soledad; Gómez, Raúl; Merlo, Pablo; Tamagnone, Francisco Marcelo

doi:10.1007/s40477-022-00729-5

Cited by 1 publication

(1 citation statement)

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“…This intervention is well established in ARDS management but is less frequently considered after cardiac surgery due to the risk of hemodynamic instability and wound complications. Such cases are extremely rare, and only one similar case has been reported by Cheong et al This previous case involved a 57-year-old male who developed pulmonary embolism combined with severe hypoxemia after gastric bypass surgery, which improved with mechanical ventilation in the prone position ( 15 ). In addition, echocardiography confirmed that prone positioning treatment improved the patient’s right ventricular dysfunction.…”

Section: Discussionmentioning

confidence: 98%

Case report: Prone positioning in the improvement of severe post-operative hypoxia following aortic dissection

Wang,

Cheng,

Jiang

et al. 2024

Front. Med.

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Postoperative hypoxemia after aortic dissection surgery presents a considerable clinical challenge, and acute respiratory distress syndrome (ARDS) is a common etiology. Prone positioning treatment has emerged as a potential intervention for improving respiratory function in this context. We report the case of a 27-year-old male who developed severe hypoxemia complicated by pulmonary embolism after aortic dissection surgery. He was diagnosed with postoperative hypoxemia combined with pulmonary embolism following aortic dissection. His respiratory status continued to deteriorate despite receiving standard postoperative care, thereby necessitating an alternative approach. Implementation of prone positioning treatment led to a substantial amelioration in his oxygenation and overall respiratory health, with a consistent hemodynamic state observed throughout the treatment. This technique resulted in significant relief in symptoms and improvement in respiratory parameters, facilitating successful extubation and, ultimately, discharge. This case underlines the possible efficacy of prone positioning therapy in managing severe hypoxia complicated by pulmonary embolism following aortic dissection surgery, warranting more thorough research to explore the potential of this treatment modality.

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Section: Discussionmentioning

confidence: 98%