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Efficacy of the prone position used in the patient with acute respiratory distress syndrome in the intensive care unit
(Universidad Privada Norbert Wiener, 1905-07-09) Choque Madueño, Dreysi Eliyana; Campos Taquire, Giovanna Victoria; Avila Vargas Machuca, Jeannette Giselle
Objective: To evaluate the effectiveness of the prone position used in patients with Acute Respiratory Distress Syndrome in the Intensive Care Unit. Materials and Methods: Systematic observational and retrospective review, the search was restricted to articles with full texts and the selected articles were subjected to critical reading. In the final selection, 12 articles were chosen, we found that 42% (05) correspond to the United States, we found 25% (03) in France and 17% (2) in Korea, while only 8% (01) we found Canada and Colombia respectively. . Most of the Meta-analysis studies have been studied with 50%. Among the systematic reviews we find 8.3% in Colombia, controlled clinical trials 33.3% in the United States, France, and we have 8.3% case-control studies belonging to France. Results: In the articles we found that 46.6% (08) affirm that the prone position reduces mortality in patients with Acute Respiratory Distress Syndrome in the prone position, we found 8.3% (01) affirm that the prone position is also safe in patients obese and improves oxygenation more than in non-obese patients and 8.3%(01) affirm that patients with Acute Respiratory Distress Syndrome In the prone position, the cardiac index improved. Conclusions: Of the total number of articles analyzed, 83.3% of the reviewed research affirm that there is effectiveness of the prone position used in patients with acute respiratory distress syndrome in the intensive care unit, there is a better redistribution of gas volume in the lung. , improving the ventilation/perfusion ratio, thus reducing mortality and increasing the survival benefit of patients who were prone.