Article
Critical Care Medicine
Domenico Luca Grieco, Luca Delle Cese, Luca S. Menga, Tommaso Rosa, Teresa Michi, Gianmarco Lombardi, Melania Cesarano, Valentina Giammatteo, Giuseppe Bello, Simone Carelli, Salvatore L. Cutuli, Claudio Sandroni, Gennaro De Pascale, Antonio Pesenti, Salvatore M. Maggiore, Massimo Antonelli
Summary: This study aimed to assess the effects of awake prone position on the breathing pattern of hypoxemic patients. The results showed that prone position improved oxygenation, reduced respiratory rate, and increased inspiratory effort. Additionally, prone position improved the distribution of tidal volume and lung compliance, without affecting tidal volume size and lung compliance. Therefore, caution may be needed when using awake prone position in patients with intense inspiratory effort.
Article
Clinical Neurology
Evan Courville, Benjamin J. Ditty, Christopher M. Maulucci, Joe Iwanaga, Aaron S. Dumont, R. Shane Tubbs
Summary: This study investigated the effects of surgical positioning on the femoral nerve within the psoas muscle. The results showed that thigh extension can lead to posterior movement of the femoral nerve, which may reduce the risk of nerve injury.
NEUROSURGICAL REVIEW
(2022)
Review
Ophthalmology
Timothy J. Patterson, Peter Currie, Michael Williams, Claire Shevlin
Summary: The purpose of this study was to investigate ocular injuries in critical care patients in prone versus supine positions during the COVID-19 pandemic. The results showed no significant difference in the rate of reported ocular injury between the two groups, but further studies are needed for confirmation.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2021)
Article
Medicine, General & Internal
Eunji Ko, Ji Soo Kwak, Heechan Park, Choon Hak Lim
Summary: This study aimed to investigate whether sugammadex could more effectively reduce postoperative pulmonary complications (PPCs) than acetylcholinesterase inhibitor (AChEi) in patients who had undergone spine surgery in the prone position. The results showed no significant difference in the occurrence of PPCs and respiratory failure between the two groups.
Article
Clinical Neurology
Alisson R. Teles, Sultan Aldebeyan, Ahmed Aoude, Ganesh Swamy, Fred H. Nicholls, Kenneth C. Thomas, W. Bradley Jacobs
Summary: The study aimed to verify the validity of GAP score, SRS-Schwab score, and Roussouly theoretical apex of lordosis in predicting mechanical complications in ASD. The results showed that GAP score had no discriminant ability, SRS-Schwab score had modest predictive value, and pelvic tilt and sagittal vertical axis at 6 weeks postoperatively were significantly associated with later mechanical complications. There was no significant association between matched Roussouly theoretical apex of lordosis and final outcome.
Article
Medicine, General & Internal
Ji Hyun Kim, Sora Kim, Taeyoung Yu, Woo Seok Yang, Seong Wook Hong
Summary: The prone position is commonly used in spinal surgery, but it can affect patients' hemodynamic circulation. In a case using a Jackson spine table, the patient developed arrhythmia during the prone position. Therefore, understanding the physiological changes and possible complications caused by the prone position is necessary for early diagnosis and management.
Review
Health Care Sciences & Services
Kristopher A. Hendershot, Kristine H. O'Phelan
Summary: Respiratory complications are common after traumatic spinal cord injury, potentially leading to respiratory failure, pulmonary edema, and pneumonia. Factors such as severity of spinal cord injury, underlying lung pathology, smoking history, and baseline health status can predict the likelihood of respiratory complications. Early tracheostomy has shown improved outcomes in patients requiring prolonged intubation, and the use of prediction models and optimized weaning strategies can further enhance patient care.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Nursing
Celia Wells, Ziya Zhang, Stephen Huelskamp, Ellen Hughes, Dorothy Aguila, Maria Sevillano, Lisa Garrett, Samuel Acquah, Christy Chan, Roopa Kohli-Seth
Summary: Establishing a traveling proning team can effectively improve the efficiency of patient proning time, support ICU clinical teams, and enhance interdisciplinary collaboration during times of crisis.
JOURNAL OF NURSING ADMINISTRATION
(2021)
Article
Critical Care Medicine
Daniel Okin, Ching-Ying Huang, George A. Alba, Sirus J. Jesudasen, Nupur A. Dandawate, Alexander Gavralidis, Leslie L. Chang, Emily E. Moin, Imama Ahmad, Alison S. Witkin, Corey Hardin, Kathryn A. Hibbert, Aran Kadar, Patrick L. Gordan, Hang Lee, B. Taylor Thompson, Taylor Thompson, Lisa M. Bebell, Peggy S. Lai
Summary: A prolonged prone position ventilation (PPV) strategy is associated with reduced mortality in intubated COVID-19 patients compared to intermittent PPV. Prolonged PPV also leads to fewer pronation and supination events and a slight increase in rates of facial edema.
Article
Critical Care Medicine
Nicolas Massart, Christophe Guervilly, Alexandre Mansour, Alizee Porto, Erwan Flecher, Maxime Esvan, Claire Fougerou, Pierre Fillatre, Thibault Duburcq, Guillaume Lebreton, Marylou Para, Francois Stephan, Sami Hraiech, James T. Ross, Matthieu Schmidt, Andre Vincentelli, Nicolas Nesseler
Summary: This study aimed to evaluate the potential survival benefit of prone positioning in venovenous ECMO patients with COVID-19-related ARDS. The study found that prone position on ECMO was associated with lower in-hospital mortality. However, more data are needed to draw definitive conclusions.
CRITICAL CARE MEDICINE
(2023)
Article
Clinical Neurology
S. Harrison Farber, Komal Naeem, Malika Bhargava, Randall W. Porter
Summary: This single-surgeon consecutive case series demonstrates that the novel technique of single-position prone LLIF is well tolerated and has acceptable clinical and radiographic outcomes.
JOURNAL OF NEUROSURGERY-SPINE
(2022)
Review
Critical Care Medicine
James M. Wright, Christina Gerges, Berje Shammassian, Collin M. Labak, Eric Z. Herring, Benjamin Miller, Ayham Alkhachroum, Mohan Kottapally, Christina Huang Wright, Richard B. Rodgers, Cara Sedney, Laura B. Ngwenya, Martina Stippler, Emily Sieg, Maya A. Babu, Alan Hoffer, Rana Hejal
Summary: The study investigated the safety and feasibility of prone positioning in neurologically ill patients with acute respiratory distress syndrome, finding it to be safe and feasible with proposed proning protocol. Although elevations in intracranial pressure and reductions in cerebral perfusion pressure do occur during proning, it should be considered a safe and viable therapy with monitoring of intracranial pressure, cerebral perfusion pressure, and brain tissue oxygenation.
CRITICAL CARE MEDICINE
(2021)
Article
Clinical Neurology
Yusuke Dodo, Ichiro Okano, Neil A. A. Kelly, Henryk Haffer, Maximilian Muellner, Erika Chiapparelli, Jennifer Shue, Darren R. R. Lebl, Frank P. P. Cammisa, Federico P. P. Girardi, Alexander P. P. Hughes, Gbolabo Sokunbi, Andrew A. A. Sama
Summary: By retrospectively reviewing 94 patients, we evaluated the positioning of retroperitoneal organs in the prone position and found that some organs shifted anteriorly. This suggests a potential risk for organ injury during single prone lumbar interbody fusion surgery.
EUROPEAN SPINE JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
Saqer Althunayyan, Abdulaziz M. Almutary, Mohammad Asim Junaidallah, Anas Saleh Heji, Faisal Almazroua, Yousef M. Alsofayan, Ahmed Al-Wathinani, Yazed AlRuthia
Summary: This prospective cohort study describes and evaluates the utility of the prone position in awake non-intubated adult patients in emergency departments during the COVID-19 pandemic. The results show significant and immediate improvement in oxygenation, respiratory rate, respiratory distress, and carbon dioxide levels after applying the prone position.
JOURNAL OF INFECTION AND PUBLIC HEALTH
(2022)
Review
Health Care Sciences & Services
Simon B. B. Roberts, Athanasios I. I. Tsirikos
Summary: Surgical correction of paediatric spinal deformity carries risks and potential complications. These need to be thoroughly discussed with patients and their families prior to surgery. Complications can include bleeding, neurological injury, pain, infections, and implant failure, among others. Prompt diagnosis, investigation, and management are crucial to prevent further deterioration and ensure optimal outcomes.
