Optimale positionering

IAP-meting bij gebruik van het IPS-systeem

Dr. Frank van Eijs, anesthesist in het ETZ Tilburg heeft een studie bij METC ingediend om de IAP te meten bij het gebruik van het IPS-systeem. Doelstelling: is om de verandering in Intra-Abdominale Druk (IAP) te beoordelen, gemeten via urinekatheter, bij gebruik van de IPS voor het positioneren van een patiënt in buikligging.

Wetenschappelijk onderzoek bevestigt effectiviteit van beademing in buikligging (prone ventilation)

“Prone ventilation is a ventilatory strategy that frequently improves oxygenation and lung mechanics in critical illness. While the exact physiologic mechanisms related to these benefits remain unproven, one major theoretical mechanism relates to reducing the abdominal encroachment upon the lungs.”

Kirkpatrick AW, Pelosi P, De Waele JJ et al.: Clinical review: Intra-abdominal hypertension: does it influence the physiology of prone ventilation. Crit Care 2010; 14: 232. doi: 10.1186/cc9099.

“In 2018 Guérin et al published a prospective international prevalence study (APRONET study) showing that Prone Ventilation was used in 32,9 % of severe ARDS (Adult Respiratory Distress Syndrome) and was associated with low rate of complications, a significant increase in oxygenation, and a decrease in driving pressure.”

Guérin et al. A prospective international prevalence study on prone position of ARDS patients: the APRONET (ARDS Prone Position Network) study.Intensive Care Med. 2018;44:22-37

“The chest and the abdomen are inexorably linked and must be considered as a single unit. Kirkpatrick et al already suggested the benefits of thoracopelvic supports in the ICU in a clinical review on intraabdominal hypertension (IAH) and its influence on the physiology of Prone Ventilation (PV).”

Kirkpatrick AW, Pelosi P, De Waele JJ et al.: Clinical review: Intra-abdominal hypertension: does it influence the physiology of prone ventilation. Crit Care 2010; 14: 232. doi: 10.1186/cc9099.