Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2022; 10(36): 13435-13442
Published online Dec 26, 2022. doi: 10.12998/wjcc.v10.i36.13435
Published online Dec 26, 2022. doi: 10.12998/wjcc.v10.i36.13435
Short-term prone positioning for severe acute respiratory distress syndrome after cardiopulmonary bypass: A case report and literature review
Jian-Hua Yang, Shu Wang, Bai-Lin Niu, Department of Intensive Care Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing Key Laboratory of Emergency Medicine, Chongqing 400016, China
Yuan-Xiu Gan, Xuan-Yun Feng, Department of Intensive Care Medicine, Chongqing University Central Hospital, Chongqing Emergency Medical Center, Chongqing 400016, China
Author contributions: Niu BL contributed to the study conception and design; Yang JH, Gan YX, Feng XY and Wang S contributed to the data collection and analysis; Yang JH wrote the manuscript; Niu BL and Wang S revised the manuscript; All authors have read the manuscript and approved the final version to be published; Yang JH and Wang S contributed equally to this work.
Supported by the Chongqing Medical Scientific Research Project (Joint Project of Chongqing Health Commission and Science and Technology Bureau) , No. 2020FYYX163 ; Chongqing Medical Key Discipline Construction Project , No. ZDXK202103 ; Fundamental Research Funds for the Central Universities and Advanced Middle-Aged and Young Medical Talents Project in Chongqing , No. 2022CDJYGRH-014 .
Informed consent statement: Written informed consent was obtained from the patient’s family for publication of the patient's medical imaging and related test results.
Conflict-of-interest statement: All the authors declare no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bai-Lin Niu, MD, Department of Intensive Care Medicine, Chongqing University Central Hospital, No. 1 Jiankang Road, Yuzhong District, Chongqing 400016, China. nberlin@126.com
Received: October 20, 2022
Peer-review started: October 20, 2022
First decision: November 11, 2022
Revised: November 22, 2022
Accepted: December 5, 2022
Article in press: December 5, 2022
Published online: December 26, 2022
Processing time: 67 Days and 11.5 Hours
Peer-review started: October 20, 2022
First decision: November 11, 2022
Revised: November 22, 2022
Accepted: December 5, 2022
Article in press: December 5, 2022
Published online: December 26, 2022
Processing time: 67 Days and 11.5 Hours
Core Tip
Core Tip: Severe acute respiratory distress syndrome (ARDS) is often secondary to cardiac macrovascular surgery. Extracorporeal membrane oxygenation (ECMO) and prone positioning (PP) can improve pulmonary ventilation blood flow ratio and survival rate. We report a case of aortic dissection complicated with severe ARDS, in which intermittent short-term PP successfully improved oxygenation in the absence of ECMO. It is not an absolute contraindication to prone ventilation in the early postoperative period after thoracotomy. The use of intermittent short-term PP can improve the condition and avoid the complications caused by early PP after thoracotomy.