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Review: prone positioning improved oxygenation on ventilation more than supine positioning in ARDSCommentary

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C M Martin

Dr C M Martin, University of Western Ontario, London, Ontario, Canada;


In patients with acute respiratory distress syndrome (ARDS) on mechanical ventilation, does prone positioning result in better outcomes than supine positioning?


Studies selected compared prone positioning (⩾6 h/d) with supine positioning in adults who had ARDS and were mechanically ventilated. Outcomes were mortality, improvement in oxygenation, days on mechanical ventilation, and ventilator-associated pneumonia.


PubMed, EMBASE/Excerpta Medica, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials (to Nov 2006); and reference lists were searched for randomised controlled trials (RCTs). Experts were consulted. 5 …

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