ARDS with severe hypoxia--aeromedical transportation during prone ventilation.

Details

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State: Public
Version: author
Serval ID
serval:BIB_27694
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
ARDS with severe hypoxia--aeromedical transportation during prone ventilation.
Journal
Anaesthesia and Intensive Care
Author(s)
Flabouris A., Schoettker P., Garner A.
ISSN
0310-057X (Print)
ISSN-L
0310-057X
Publication state
Published
Issued date
2003
Volume
31
Number
6
Pages
675-678
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Severe hypoxia, despite maximal conventional respiratory support, is one of the few remaining limitations to aeromedical transportation. A case of a 35-year-old female, who was referred 36 hours following major trauma for transfer by air to a tertiary center, is presented. At the time of referral the PaO2/FiO2 ratio was 48. Usual manoeuvres to improve oxygenation had only minimal impact. The patient was turned and subsequently transported prone with resultant improvement in PaO2/FiO2 ratio to 260. There were no patient- or transport-related adverse events. The implication of prone positioning during aeromedical transportation is discussed.
Keywords
Adult, Air Ambulances, Anoxia/complications, Anoxia/therapy, Female, Humans, Multiple Trauma/complications, Multiple Trauma/physiopathology, Positive-Pressure Respiration, Prone Position, Respiratory Distress Syndrome, Adult/complications, Transportation of Patients/methods
Pubmed
Web of science
Create date
19/11/2007 13:24
Last modification date
20/08/2019 14:06
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