Journal article

Haemodynamic changes during prone versus supine position in patients with COVID-19 acute respiratory distress syndrome

M Coxwell Matthewman, F Yanase, R Costa-Pinto, D Jones, D Karalapillai, L Modra, S Radford, IF Ukor, S Warrillow, R Bellomo

Australian Critical Care | Published : 2024

Abstract

Background: Prone positioning improves oxygenation in patients with acute respiratory distress syndrome (ARDS) secondary to COVID-19. However, its haemodynamic effects are poorly understood. Objectives: The objective of this study was to investigate the acute haemodynamic changes associated with prone position in mechanically ventilated patients with COVID-19 ARDS. The primary objective was to describe changes in cardiac index with prone position. The secondary objectives were to describe changes in mean arterial pressure, FiO2, PaO2/FiO2 ratio, and oxygen delivery (DO2) with prone position. Methods: We performed this cohort-embedded study in an Australian intensive care unit, between Septem..

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