Effect of the prone position on mechanical power in elective surgical patients under general anesthesia: A prospective observational study

Berrak S. Aydın; Eren Açıkgöz

doi:10.15537/smj.2024.45.8.20240242

References

1.↵
1. Cressoni M,
2. Gotti M,
3. Chiurazzi C,
4. Massari D,
5. Algieri I,
6. Amini M, et al.
Mechanical power and development of ventilator-induced lung injury. Anesthesiology 2016; 124: 1100-1108.
OpenUrl
2.↵
1. Huang X,
2. Xiu H,
3. Zhang S,
4. Zhang G
. The role of macrophages in the pathogenesis of ALI/ARDS. Mediators Inflamm 2018; 2018: 1264913.
OpenUrl CrossRef PubMed
3.↵
1. Vasques F,
2. Duscio E,
3. Pasticci I,
4. Romitti F,
5. Vassalli F,
6. Quintel M, et al.
Is the mechanical power the final word on ventilator-induced lung injury?-we are not sure. Ann Transl Med 2018; 6: 395.
OpenUrl
4.↵
1. Chiumello D,
2. Formenti P,
3. Bolgiaghi L,
4. Mistraletti G,
5. Gotti M,
6. Vetrone F, et al.
Body position alters mechanical power and respiratory mechanics during thoracic surgery. Anesth Analg 2020; 130: 391-401.
OpenUrl
5.↵
1. Papazian L,
2. Munshi L,
3. Guérin C
. Prone position in mechanically ventilated patients. Intensive Care Med 2022; 48: 1062-1065.
OpenUrl
6.↵
1. Scaramuzzo G,
2. Gamberini L,
3. Tonetti T,
4. Zani G,
5. Ottaviani I,
6. Mazzoli CA, et al.
Sustained oxygenation improvement after first prone positioning is associated with liberation from mechanical ventilation and mortality in critically ill COVID-19 patients: a cohort study. Ann Intensive Care 2021; 11: 63.
OpenUrl
7.↵
1. Yadav M,
2. Reddy EP,
3. Sharma A,
4. Kulkarni DK,
5. Gopinath R
. The effect of position on PaCO2 and PETCO2 in patients undergoing cervical spine surgery in supine and prone position. J Neurosurg Anesthesiol 2017; 29: 298-303.
OpenUrl
8.
1. Coppo A,
2. Bellani G,
3. Winterton D,
4. Di Pierro M,
5. Soria A,
6. Faverio P, et al.
Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med 2020; 8: 765-774.
OpenUrl
9.↵
1. Kumaresan A,
2. Gerber R,
3. Mueller A,
4. Loring SH,
5. Talmor D
. Effects of prone positioning on transpulmonary pressures and end-expiratory volumes in patients without lung disease. Anesthesiology 2018; 128: 1187-1192.
OpenUrl
10.↵
1. Scholten EL,
2. Beitler JR,
3. Prisk GK,
4. Malhotra A
. Treatment of ARDS with prone positioning. Chest 2017; 151: 215-224.
OpenUrl CrossRef PubMed
11.↵
1. Chua EX,
2. Zahir SMISM,
3. Ng KT,
4. Teoh WY,
5. Hasan MS,
6. Ruslan SRB, et al.
Effect of prone versus supine position in COVID-19 patients: a systematic review and meta-analysis. J Clin Anesth 2021; 74: 110406.
OpenUrl
12.↵
1. Gattinoni L,
2. Tonetti T,
3. Cressoni M,
4. Cadringher P,
5. Herrmann P,
6. Moerer O, et al.
Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med 2016; 42: 1567-1575.
OpenUrl CrossRef PubMed
13.↵
1. Yan Y,
2. Xie Y,
3. Chen X,
4. Sun Y,
5. Du Z,
6. Wang Y, et al.
Mechanical power is associated with weaning outcome in critically ill mechanically ventilated patients. Sci Rep 2022; 12: 19634.
OpenUrl
14.↵
1. Tharp WG,
2. Neilson MR,
3. Breidenstein MW,
4. Harned RG,
5. Chatfield SE,
6. Friend AF, et al.
Effects of obesity, pneumoperitoneum, and body position on mechanical power of intraoperative ventilation: an observational study. J Appl Physiol (1985) 2023; 134: 1390-1402.
OpenUrl
15.↵
1. Battaglini D,
2. Sottano M,
3. Ball L,
4. Robba C,
5. Rocco PRM,
6. Pelosi P
. Ten golden rules for individualized mechanical ventilation in acute respiratory distress syndrome. J Intensive Med 2021; 1: 42-51.
OpenUrl
16.↵
1. Qadri SK,
2. Ng P,
3. Toh TSW,
4. Loh SW,
5. Tan HL,
6. Lin CB, et al.
Critically ill patients with COVID-19: a narrative review on prone position. Pulm Ther 2020; 6: 233-246.
OpenUrl CrossRef PubMed
17.↵
1. Santer P,
2. Wachtendorf LJ,
3. Suleiman A,
4. Houle TT,
5. Fassbender P,
6. Costa EL, et al.
Mechanical power during general anesthesia and postoperative respiratory failure: a multicenter retrospective cohort study. Anesthesiology 2022; 137: 41-54.
OpenUrl
18.↵
1. Schuijt MTU,
2. Hol L,
3. Nijbroek SG,
4. Ahuja S,
5. van Meenen D,
6. Mazzinari G, et al.
Associations of dynamic driving pressure and mechanical power with postoperative pulmonary complications-posthoc analysis of 2 randomised clinical trials in open abdominal surgery. EClinicalMedicine 2022; 47: 101397.
OpenUrl
19.↵
1. Stalla Alves da Fonseca R,
2. Martins Correa Boniatti V,
3. Carneiro Teixeira M,
4. Preisig Werlang A,
5. Martins F,
6. Henrique Rigotti Soares P, et al.
Mechanical power in prone position intubated patients with COVID-19-related ARDS: a cohort study. Crit Care Res Pract 2023; 2023: 6604313.
OpenUrl
20.↵
1. Tonetti T,
2. Vasques F,
3. Rapetti F,
4. Maiolo G,
5. Collino F,
6. Romitti F, et al.
Driving pressure and mechanical power: new targets for VILI prevention. Ann Transl Med 2017; 5: 286.
OpenUrl
21.↵
1. Pelosi P,
2. Croci M,
3. Calappi E,
4. Mulazzi D,
5. Cerisara M,
6. Vercesi P, et al.
Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg 1996; 83: 578-583.
OpenUrl CrossRef PubMed Web of Science
22.↵
1. Lichtwarck-Aschoff M,
2. Helmer A,
3. Kawati R,
4. Lattuada M,
5. Sjöstrand UH,
6. Zügel N, et al.
Good short-term agreement between measured and calculated tracheal pressure. Br J Anaesth 2003; 91: 239-248.
OpenUrl CrossRef PubMed
23.↵
1. Spaeth J,
2. Daume K,
3. Goebel U,
4. Wirth S,
5. Schumann S
. Increasing positive end-expiratory pressure (re-)improves intraoperative respiratory mechanics and lung ventilation after prone positioning. Br J Anaesth 2016; 116: 838-846.
OpenUrl CrossRef PubMed

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Keywords

[1] 1.↵
Cressoni M,
Gotti M,
Chiurazzi C,
Massari D,
Algieri I,
Amini M, et al.
Mechanical power and development of ventilator-induced lung injury. Anesthesiology 2016; 124: 1100-1108.
OpenUrl

[2] Cressoni M,

[3] Gotti M,

[4] Chiurazzi C,

[5] Massari D,

[6] Algieri I,

[7] Amini M, et al.

[8] 2.↵
Huang X,
Xiu H,
Zhang S,
Zhang G
. The role of macrophages in the pathogenesis of ALI/ARDS. Mediators Inflamm 2018; 2018: 1264913.
OpenUrl CrossRef PubMed

[9] Huang X,

[10] Xiu H,

[11] Zhang S,

[12] Zhang G

[13] 3.↵
Vasques F,
Duscio E,
Pasticci I,
Romitti F,
Vassalli F,
Quintel M, et al.
Is the mechanical power the final word on ventilator-induced lung injury?-we are not sure. Ann Transl Med 2018; 6: 395.
OpenUrl

[14] Vasques F,

[15] Duscio E,

[16] Pasticci I,

[17] Romitti F,

[18] Vassalli F,

[19] Quintel M, et al.

[20] 4.↵
Chiumello D,
Formenti P,
Bolgiaghi L,
Mistraletti G,
Gotti M,
Vetrone F, et al.
Body position alters mechanical power and respiratory mechanics during thoracic surgery. Anesth Analg 2020; 130: 391-401.
OpenUrl

[21] Chiumello D,

[22] Formenti P,

[23] Bolgiaghi L,

[24] Mistraletti G,

[25] Gotti M,

[26] Vetrone F, et al.

[27] 5.↵
Papazian L,
Munshi L,
Guérin C
. Prone position in mechanically ventilated patients. Intensive Care Med 2022; 48: 1062-1065.
OpenUrl

[28] Papazian L,

[29] Munshi L,

[30] Guérin C

[31] 6.↵
Scaramuzzo G,
Gamberini L,
Tonetti T,
Zani G,
Ottaviani I,
Mazzoli CA, et al.
Sustained oxygenation improvement after first prone positioning is associated with liberation from mechanical ventilation and mortality in critically ill COVID-19 patients: a cohort study. Ann Intensive Care 2021; 11: 63.
OpenUrl

[32] Scaramuzzo G,

[33] Gamberini L,

[34] Tonetti T,

[35] Zani G,

[36] Ottaviani I,

[37] Mazzoli CA, et al.

[38] 7.↵
Yadav M,
Reddy EP,
Sharma A,
Kulkarni DK,
Gopinath R
. The effect of position on PaCO2 and PETCO2 in patients undergoing cervical spine surgery in supine and prone position. J Neurosurg Anesthesiol 2017; 29: 298-303.
OpenUrl

[39] Yadav M,

[40] Reddy EP,

[41] Sharma A,

[42] Kulkarni DK,

[43] Gopinath R

[44] 8.
Coppo A,
Bellani G,
Winterton D,
Di Pierro M,
Soria A,
Faverio P, et al.
Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med 2020; 8: 765-774.
OpenUrl

[45] Coppo A,

[46] Bellani G,

[47] Winterton D,

[48] Di Pierro M,

[49] Soria A,

[50] Faverio P, et al.

[51] 9.↵
Kumaresan A,
Gerber R,
Mueller A,
Loring SH,
Talmor D
. Effects of prone positioning on transpulmonary pressures and end-expiratory volumes in patients without lung disease. Anesthesiology 2018; 128: 1187-1192.
OpenUrl

[52] Kumaresan A,

[53] Gerber R,

[54] Mueller A,

[55] Loring SH,

[56] Talmor D

[57] 10.↵
Scholten EL,
Beitler JR,
Prisk GK,
Malhotra A
. Treatment of ARDS with prone positioning. Chest 2017; 151: 215-224.
OpenUrl CrossRef PubMed

[58] Scholten EL,

[59] Beitler JR,

[60] Prisk GK,

[61] Malhotra A

[62] 11.↵
Chua EX,
Zahir SMISM,
Ng KT,
Teoh WY,
Hasan MS,
Ruslan SRB, et al.
Effect of prone versus supine position in COVID-19 patients: a systematic review and meta-analysis. J Clin Anesth 2021; 74: 110406.
OpenUrl

[63] Chua EX,

[64] Zahir SMISM,

[65] Ng KT,

[66] Teoh WY,

[67] Hasan MS,

[68] Ruslan SRB, et al.

[69] 12.↵
Gattinoni L,
Tonetti T,
Cressoni M,
Cadringher P,
Herrmann P,
Moerer O, et al.
Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med 2016; 42: 1567-1575.
OpenUrl CrossRef PubMed

[70] Gattinoni L,

[71] Tonetti T,

[72] Cressoni M,

[73] Cadringher P,

[74] Herrmann P,

[75] Moerer O, et al.

[76] 13.↵
Yan Y,
Xie Y,
Chen X,
Sun Y,
Du Z,
Wang Y, et al.
Mechanical power is associated with weaning outcome in critically ill mechanically ventilated patients. Sci Rep 2022; 12: 19634.
OpenUrl

[77] Yan Y,

[78] Xie Y,

[79] Chen X,

[80] Sun Y,

[81] Du Z,

[82] Wang Y, et al.

[83] 14.↵
Tharp WG,
Neilson MR,
Breidenstein MW,
Harned RG,
Chatfield SE,
Friend AF, et al.
Effects of obesity, pneumoperitoneum, and body position on mechanical power of intraoperative ventilation: an observational study. J Appl Physiol (1985) 2023; 134: 1390-1402.
OpenUrl

[84] Tharp WG,

[85] Neilson MR,

[86] Breidenstein MW,

[87] Harned RG,

[88] Chatfield SE,

[89] Friend AF, et al.

[90] 15.↵
Battaglini D,
Sottano M,
Ball L,
Robba C,
Rocco PRM,
Pelosi P
. Ten golden rules for individualized mechanical ventilation in acute respiratory distress syndrome. J Intensive Med 2021; 1: 42-51.
OpenUrl

[91] Battaglini D,

[92] Sottano M,

[93] Ball L,

[94] Robba C,

[95] Rocco PRM,

[96] Pelosi P

[97] 16.↵
Qadri SK,
Ng P,
Toh TSW,
Loh SW,
Tan HL,
Lin CB, et al.
Critically ill patients with COVID-19: a narrative review on prone position. Pulm Ther 2020; 6: 233-246.
OpenUrl CrossRef PubMed

[98] Qadri SK,

[99] Ng P,

[100] Toh TSW,

[101] Loh SW,

[102] Tan HL,

[103] Lin CB, et al.

[104] 17.↵
Santer P,
Wachtendorf LJ,
Suleiman A,
Houle TT,
Fassbender P,
Costa EL, et al.
Mechanical power during general anesthesia and postoperative respiratory failure: a multicenter retrospective cohort study. Anesthesiology 2022; 137: 41-54.
OpenUrl

[105] Santer P,

[106] Wachtendorf LJ,

[107] Suleiman A,

[108] Houle TT,

[109] Fassbender P,

[110] Costa EL, et al.

[111] 18.↵
Schuijt MTU,
Hol L,
Nijbroek SG,
Ahuja S,
van Meenen D,
Mazzinari G, et al.
Associations of dynamic driving pressure and mechanical power with postoperative pulmonary complications-posthoc analysis of 2 randomised clinical trials in open abdominal surgery. EClinicalMedicine 2022; 47: 101397.
OpenUrl

[112] Schuijt MTU,

[113] Hol L,

[114] Nijbroek SG,

[115] Ahuja S,

[116] van Meenen D,

[117] Mazzinari G, et al.

[118] 19.↵
Stalla Alves da Fonseca R,
Martins Correa Boniatti V,
Carneiro Teixeira M,
Preisig Werlang A,
Martins F,
Henrique Rigotti Soares P, et al.
Mechanical power in prone position intubated patients with COVID-19-related ARDS: a cohort study. Crit Care Res Pract 2023; 2023: 6604313.
OpenUrl

[119] Stalla Alves da Fonseca R,

[120] Martins Correa Boniatti V,

[121] Carneiro Teixeira M,

[122] Preisig Werlang A,

[123] Martins F,

[124] Henrique Rigotti Soares P, et al.

[125] 20.↵
Tonetti T,
Vasques F,
Rapetti F,
Maiolo G,
Collino F,
Romitti F, et al.
Driving pressure and mechanical power: new targets for VILI prevention. Ann Transl Med 2017; 5: 286.
OpenUrl

[126] Tonetti T,

[127] Vasques F,

[128] Rapetti F,

[129] Maiolo G,

[130] Collino F,

[131] Romitti F, et al.

[132] 21.↵
Pelosi P,
Croci M,
Calappi E,
Mulazzi D,
Cerisara M,
Vercesi P, et al.
Prone positioning improves pulmonary function in obese patients during general anesthesia. Anesth Analg 1996; 83: 578-583.
OpenUrl CrossRef PubMed Web of Science

[133] Pelosi P,

[134] Croci M,

[135] Calappi E,

[136] Mulazzi D,

[137] Cerisara M,

[138] Vercesi P, et al.

[139] 22.↵
Lichtwarck-Aschoff M,
Helmer A,
Kawati R,
Lattuada M,
Sjöstrand UH,
Zügel N, et al.
Good short-term agreement between measured and calculated tracheal pressure. Br J Anaesth 2003; 91: 239-248.
OpenUrl CrossRef PubMed

[140] Lichtwarck-Aschoff M,

[141] Helmer A,

[142] Kawati R,

[143] Lattuada M,

[144] Sjöstrand UH,

[145] Zügel N, et al.

[146] 23.↵
Spaeth J,
Daume K,
Goebel U,
Wirth S,
Schumann S
. Increasing positive end-expiratory pressure (re-)improves intraoperative respiratory mechanics and lung ventilation after prone positioning. Br J Anaesth 2016; 116: 838-846.
OpenUrl CrossRef PubMed

[147] Spaeth J,

[148] Daume K,

[149] Goebel U,

[150] Wirth S,

[151] Schumann S

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Effect of the prone position on mechanical power in elective surgical patients under general anesthesia

A prospective observational study

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Effect of the prone position on mechanical power in elective surgical patients under general anesthesia

A prospective observational study

References

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