scholarly journals Hemodynamic changes in prone position - a non‑invasive physiological study

2021 ◽  
Vol 32 (2) ◽  
pp. 82-86
Author(s):  
L Kukrálová ◽  
V Dostálová ◽  
P Dostál
2008 ◽  
Vol 46 (2) ◽  
pp. 57-60 ◽  
Author(s):  
Kin-Shing Poon ◽  
King-Chuen Wu ◽  
Chia-Chen Chen ◽  
Si-Tun Fung ◽  
Albert Wai-Cheung Lau ◽  
...  

2005 ◽  
Vol 9 (2) ◽  
pp. 154-160 ◽  
Author(s):  
Masayoshi Yoshii ◽  
Junichi Minami ◽  
Toshihiko Ishimitsu ◽  
Ken-ichi Yamakoshi ◽  
Hiroaki Matsuoka

Author(s):  
Litiele Evelin Wagner ◽  
Kemberly Godoy Basegio ◽  
Carlos Fernando Drumond Dornelles ◽  
Rafael Foernges ◽  
Mari Ângela Gaedke ◽  
...  

2003 ◽  
Vol 29 (10) ◽  
pp. 1680-1687 ◽  
Author(s):  
Nicol� Patroniti ◽  
Giuseppe Foti ◽  
Annamaria Manfio ◽  
Anna Coppo ◽  
Giacomo Bellani ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Paola Pierucci ◽  
Nicolino Ambrosino ◽  
Valentina Di Lecce ◽  
Michela Dimitri ◽  
Stefano Battaglia ◽  
...  

Background: The COVID-19 pandemic has led to new approaches to manage patients outside the ICU, including prone positioning in non-intubated patients.Objectives: To report the use of prolonged active prone positioning in spontaneously breathing patients with COVID-19-associated acute respiratory failure. Spontaneously breathing vs non-invasive respiratory support for COVID19 associated acute respiratory failure.Methods: Patients with PaO2/FiO2 > 150, with lung posterior consolidations as assessed by means of lung ultrasound, and chest x-ray were studied. Under continuous pulse oximetry (SpO2) monitoring, patients maintained active prone position. A PaO2/FiO2 < 150 was considered as treatment failure and patients had to be switched to non-invasive respiratory support. Retrospectively, data of 16 patients undergoing who refused proning and underwent non-invasive respiratory support were used as controls. The primary outcome was the proportion of patients maintaining prolonged prone position and discharged home. Secondary outcomes included improvement in oxygenation, hospital length of stay, and 6-month survival.Results: Three out of 16 (18.7%) patients did not tolerate the procedure. Three more patients showed a worsening in PaO2/FiO2 to <150 and required non-invasive support, two of whom finally needing endotracheal intubation. After 72 h, 10 out of 16 (62.5%) patients improved oxygenation [PaO2/FiO2: from 194.6 (42.1) to 304.7 (79.3.2) (p < 0.001)] and were discharged home. In the control group, three out of 16 failed, required invasive ventilatory support, and died within 1 month in ICU. Thirteen were successful and discharged home.Conclusion: In non-intubated spontaneously breathing COVID-19 patients with PaO2/FiO2 >150, active prolonged prone positioning was feasible and tolerated with significant improvement in oxygenation.


Author(s):  
Antonio Siniscalchi ◽  
Cleona Gray ◽  
Giovanni Malferrari

Background: Increasing interest in identifying of cerebral hemodynamics alterations as cause of possible onset or worsening of cognitive impairment in elderly patients with vascular risk factors. Introduction: Intracranial ultrasound is a non-invasive, repeatable inexpensive method for recording variation of the cerebral vascular tree in physiological and pathological conditions as well in the diagnosis of vascular dementia (VaD). Methods: PubMed, Embase, Cochrane library and reference lists have been searched for articles published until March 30, 2020. Results: Clinical studies reported different Transcranial Doppler (TCD) parameters and subsequently transcranial duplex with color code (TCCD) in patients affected by vascular dementia. The number of studies using TCCD remains limited and most of available data are still based on TCD. However, the use of transcranial Doppler could better stratify elderly patients with initial signs of cognitive impairment. Conclusion: Intracranial ultrasound employment to detect cerebral hemodynamic changes in VaD patients has been briefly discussed in this review.


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