Prone Ventilation in the Management of Infants With Acute Respiratory Distress Syndrome After Complex Cardiac Surgery

Balachandran, Rakhi; Nair, Suresh; Sivadasan, Praveen; Sunil, Gopalraj Sumangala; Vaidyanathan, Balu; Sreedharan, Jithin K; Mathew, Chris Sara

doi:10.1053/j.jvca.2011.03.179

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…There are several explanations for how prone positioning improved James's oxygenation. This position acts synergistically with positive end expiratory pressure (PEEP) by redistributing lung regional perfusion towards ventral regions (Richard et al, 2008) and perfusion is more homogenous, minimizing ventilation/perfusion mismatch so improving gaseous exchange in James's lungs (Balachandran et al, 2012). However, Elder et al (2011) suggest that it is the sleep state is the predominant influence on respiratory variability rather than position, although it would appear that the prone position enables infants to achieve longer periods of quality sleep (Jarus et al, 2011).…”

Section: Persistent Pulmonary Hypertension Low Pre and Post Ductal Omentioning

confidence: 99%

Meconium aspiration syndrome and persistent pulmonary hypertension of the newborn

Brooke-Vincent¹

2015

Journal of Neonatal Nursing

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Section: Persistent Pulmonary Hypertension Low Pre and Post Ductal Omentioning

confidence: 99%

Meconium aspiration syndrome and persistent pulmonary hypertension of the newborn

Brooke-Vincent¹

2015

Journal of Neonatal Nursing

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Prone Positioning in Postoperative Cardiac Surgery Patients: A Narrative Review

Santarpino

Bonifazi

Albanese

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

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Sternal Precautions and Prone Positioning of Infants Following Median Sternotomy: A Nationwide Survey

Clifton

Cruz

Patel

et al. 2020

Pediatric Physical Therapy

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Purpose: To describe current practice of pediatric sternal precautions (PSPs) and prone positioning restrictions (PPRs) in infants after median sternotomy. Methods: A Web-based survey with 21 questions was developed on the basis of a review of current literature and expert consultation. Snowball sampling resulted in 68 participants well represented by profession throughout the United States. Results: Approximately 80% of participants reported having institutional protocols for PSPs. Most common reported PSPs were no lifting at the axillae and no pulling of arms to achieve sitting. PSPs also included PPRs. The opinions of participants supported no PPRs or modified PPRs compared with strict PPRs. Conclusions: Types of PPRs varied across participants, with the majority of participants in favor of modified PPRs while PSPs were less varied. Research is needed to examine the effects of PSPs and PPRs in infants post–median sternotomy.

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Prone Ventilation in the Management of Infants With Acute Respiratory Distress Syndrome After Complex Cardiac Surgery

Cited by 3 publications

References 21 publications

Meconium aspiration syndrome and persistent pulmonary hypertension of the newborn

Meconium aspiration syndrome and persistent pulmonary hypertension of the newborn

Prone Positioning in Postoperative Cardiac Surgery Patients: A Narrative Review

Sternal Precautions and Prone Positioning of Infants Following Median Sternotomy: A Nationwide Survey

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