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Semi-recumbent position leads to improvement of gas exchange and lung mechanics in patients suffering from ALI or ARDS. Prone positioning leads to similar effects. To date, no data on the combination of these two positioning measures exist. The investigators hypothesize that head elevation in prone position leads to improvement in gas exchange and lung mechanics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | Start with turning to prone position without head elevation, after 2 hours 30° head elevation, after 2 hours back to PP without head elevation. |
|
| 2 | Active Comparator | Start with turning to prone position with 30° head elevation, after 2 hours PP without head elevation, after 2 hours back to 0° PP. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prone position with head elevation | Procedure | Head elevation of 30° in prone position (Ant-Trendelenburg position of the whole bed) |
|
| Measure | Description | Time Frame |
|---|---|---|
| PaO2/FiO2 ratio | Study period (5 hours on 2 consecutive days) |
| Measure | Description | Time Frame |
|---|---|---|
| PaCO2, Compliance (Chest wall, lung, respiratory system) | Study period (5 hours on 2 consecutive days) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept. of Internal Medicine I, Intensive Care Unit, Medical University of Vienna | Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21955757 | Derived | Robak O, Schellongowski P, Bojic A, Laczika K, Locker GJ, Staudinger T. Short-term effects of combining upright and prone positions in patients with ARDS: a prospective randomized study. Crit Care. 2011;15(5):R230. doi: 10.1186/cc10471. Epub 2011 Sep 29. |
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| ID | Term |
|---|---|
| D016684 | Prone Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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