清醒俯卧位通气策略在低氧性呼吸衰竭患者中的应用进展_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

漆敏 , 倪忠 , 唐永江 , 梁宗安 ,  余荷

四川大学华西医院呼吸与危重症医学科（四川成都 610041）;

Corresponding author：

余荷, Email: yuhe@wchscu.cn

Keywords：

DOI：

10.7507/1671-6205.202010006

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Citation： 漆敏, 倪忠, 唐永江, 梁宗安, 余荷. 清醒俯卧位通气策略在低氧性呼吸衰竭患者中的应用进展. Chinese Journal of Respiratory and Critical Care Medicine, 2021, 20(3): 215-218. doi: 10.7507/1671-6205.202010006 Copy

1.	Bryan A. Conference on the scientific basis of respiratory therapy. Pulmonary physiotherapy in the pediatric age group. Comments of a devil's advocate. Am Rev Respir Dis, 1974, 110(6 Pt 2): 143-144.
2.	Guerin C, Reignier J, Richard JC, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med, 2013, 368(23): 2159-2168.
3.	Gattinoni L, Tognoni G, Pesenti A, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med, 2001, 345(8): 568-573.
4.	Mancebo J, Fernandez R, Blanch L, et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med, 2006, 173(11): 1233-1239.
5.	Diaz JV, Brower R, Calfee CS, et al. Therapeutic strategies for severe acute lung injury. Crit Care Med, 2010, 38(8): 1644-1650.
6.	Fan E, Del Sorbo L, Goligher EC, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med, 2017, 195(9): 1253-1263.
7.	Feltracco P, Serra E, Barbieri S, et al. Non-invasive ventilation in prone position for refractory hypoxemia after bilateral lung transplantation. Clin Transplant, 2009, 23(5): 748-750.
8.	Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: a retrospective study. J Crit Care, 2015, 30(6): 1390-1394.
9.	Valter C, Christensen AM, Tollund C, et al. Response to the prone position in spontaneously breathing patients with hypoxemic respiratory failure. Acta Anaesthesiol Scand, 2003, 47(4): 416-418.
10.	Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med, 2020, 8(5): 475-481.
11.	Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA, 2020, 323(11): 1061-1069.
12.	Sartini C, Tresoldi M, Scarpellini P, et al. Respiratory parameters in patients with COVID-19 after using noninvasive ventilation in the prone position outside the intensive care unit. JAMA, 2020, 323(22): 2338-2340.
13.	Thompson AE, Ranard BL, Wei Y, et al. Prone positioning in awake, nonintubated patients with COVID-19 hypoxemic respiratory failure. JAMA Intern Med, 2020, 180(11): 1537-1539.
14.	Xu Q, Wang T, Qin X, et al. Early awake prone position combined with high-flow nasal oxygen therapy in severe COVID-19: a case series. Crit Care, 2020, 24(1): 250.
15.	Coppo A, Bellani G, Winterton D, 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(8): 765-774.
16.	Solverson K, Weatherald J, Parhar KKS. Tolerability and safety of awake prone positioning COVID-19 patients with severe hypoxemic respiratory failure. Can J Anaesth, 2021, 68(1): 64-70.
17.	Paul V, Patel S, Royse M, et al. Proning in non-intubated (PINI) in times of COVID-19: case series and a review. J Intensive Care Med, 2020, 35(8): 818-824.
18.	新型冠状病毒肺炎诊疗方案(试行第八版)[EB/OL]. 国卫办医函〔2020〕680 号 2020. [http://www.gov.cn/zhengce/zhengceku/2020-08/19/content_5535757.htm].
19.	Richter T, Bellani G, Scott Harris R, et al. Effect of prone position on regional shunt, aeration, and perfusion in experimental acute lung injury. Am J Respir Crit Care Med, 2005, 172(4): 480-487.
20.	Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
21.	Kallet RH. A comprehensive review of prone position in ARDS. Respir Care, 2015, 60(11): 1660-1687.
22.	Douglas WW, Rehder K, Beynen FM, et al. Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis, 1977, 115(4): 559-566.
23.	Feltracco P, Serra E, Barbieri S, et al. Noninvasive high-frequency percussive ventilation in the prone position after lung transplantation. Transplant Proc, 2012, 44(7): 2016-2021.
24.	Bellone A, Basile A. Prone positioning in severe acute hypoxemic respiratory failure in the emergency ward. Emerg Care J, 2018, 14(1): 22-23.
25.	Ding L, Wang L, Ma W, et al. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care, 2020, 24(1): 28.
26.	Perez-Nieto OR, Guerrero-Gutierrez MA, Deloya-Tomas E, et al. Prone positioning combined with high-flow nasal cannula in severe noninfectious ARDS. Crit Care, 2020, 24(1): 114.
27.	Caputo ND, Strayer RJ, Levitan R. Early self-proning in awake, non-intubated patients in the emergency department: A Single ED's Experience During the COVID-19 Pandemic. Acad Emerg Med, 2020, 27(5): 375-378.
28.	Chad T, Sampson C. Prone positioning in conscious patients on medical wards: A review of the evidence and its relevance to patients with COVID-19 infection. Clin Med (Lond), 2020, 20(4): e97-e103.
29.	Cohen D, Wasserstrum Y, Segev A, et al. Beneficial effect of awake prone position in hypoxaemic patients with COVID-19: case reports and literature review. Intern Med J, 2020, 50(8): 997-1000.
30.	Elharrar X, Trigui Y, Dols AM, et al. Use of prone positioning in nonintubated patients with COVID-19 and hypoxemic acute respiratory failure. JAMA, 2020, 323(22): 2336-2338.
31.	Ng Z, Tay WC, Ho CHB. Awake prone positioning for non-intubated oxygen dependent COVID-19 pneumonia patients. Eur Respir J, 2020, 56(1): 2001198.
32.	Raoof S, Nava S, Carpati C, et al. High-flow, noninvasive ventilation and awake (nonintubation) proning in patients with COVID-2019 with respiratory failure. Chest, 2020, 158(5): 1992-2002.
33.	Whittemore P, Macfarlane L, Herbert A, et al. Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis. BMJ Case Rep, 2020, 13(8): e236586.
34.	Ferrando C, Mellado-Artigas R, Gea A, et al. Awake prone positioning does not reduce the risk of intubation in COVID-19 treated with high-flow nasal oxygen therapy: a multicenter, adjusted cohort study. Crit Care, 2020, 24(1): 597.
35.	Taboada M, Gonzalez M, Alvarez A, et al. Effectiveness of prone positioning in nonintubated intensive care unit patients with moderate to severe acute respiratory distress syndrome by Coronavirus Disease 2019. Anesth Analg, 2021, 132(1): 25-30.
36.	Gattinoni L, Chiumello D, Caironi P, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes?. Intensive Care Med, 2020, 46(6): 1099-1102.
37.	Bower G, He H. Protocol for awake prone positioning in COVID-19 patients: to do it earlier, easier, and longer. Crit Care, 2020, 24(1): 371.
38.	Fan E, Brodie D, Slutsky AS. Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA, 2018, 319(7): 698-710.
39.	Jiang LG, LeBaron J, Bodnar D, et al. Conscious proning: an introduction of a proning protocol for nonintubated, awake, hypoxic emergency department COVID-19 patients. Acad Emerg Med, 2020, 27(7): 566-569.
40.	PulmCrit Wee- Proning the non-intubated patient[EB/OL]. https://emcrit.org/pulmcrit/proning-nonintubated/.
41.	Carsetti A, Damia Paciarini A, Marini B, et al. Prolonged prone position ventilation for SARS-CoV-2 patients is feasible and effective. Crit Care, 2020, 24(1): 225.

1. Bryan A. Conference on the scientific basis of respiratory therapy. Pulmonary physiotherapy in the pediatric age group. Comments of a devil's advocate. Am Rev Respir Dis, 1974, 110(6 Pt 2): 143-144.
2. Guerin C, Reignier J, Richard JC, et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med, 2013, 368(23): 2159-2168.
3. Gattinoni L, Tognoni G, Pesenti A, et al. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med, 2001, 345(8): 568-573.
4. Mancebo J, Fernandez R, Blanch L, et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med, 2006, 173(11): 1233-1239.
5. Diaz JV, Brower R, Calfee CS, et al. Therapeutic strategies for severe acute lung injury. Crit Care Med, 2010, 38(8): 1644-1650.
6. Fan E, Del Sorbo L, Goligher EC, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med, 2017, 195(9): 1253-1263.
7. Feltracco P, Serra E, Barbieri S, et al. Non-invasive ventilation in prone position for refractory hypoxemia after bilateral lung transplantation. Clin Transplant, 2009, 23(5): 748-750.
8. Scaravilli V, Grasselli G, Castagna L, et al. Prone positioning improves oxygenation in spontaneously breathing nonintubated patients with hypoxemic acute respiratory failure: a retrospective study. J Crit Care, 2015, 30(6): 1390-1394.
9. Valter C, Christensen AM, Tollund C, et al. Response to the prone position in spontaneously breathing patients with hypoxemic respiratory failure. Acta Anaesthesiol Scand, 2003, 47(4): 416-418.
10. Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med, 2020, 8(5): 475-481.
11. Wang D, Hu B, Hu C, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA, 2020, 323(11): 1061-1069.
12. Sartini C, Tresoldi M, Scarpellini P, et al. Respiratory parameters in patients with COVID-19 after using noninvasive ventilation in the prone position outside the intensive care unit. JAMA, 2020, 323(22): 2338-2340.
13. Thompson AE, Ranard BL, Wei Y, et al. Prone positioning in awake, nonintubated patients with COVID-19 hypoxemic respiratory failure. JAMA Intern Med, 2020, 180(11): 1537-1539.
14. Xu Q, Wang T, Qin X, et al. Early awake prone position combined with high-flow nasal oxygen therapy in severe COVID-19: a case series. Crit Care, 2020, 24(1): 250.
15. Coppo A, Bellani G, Winterton D, 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(8): 765-774.
16. Solverson K, Weatherald J, Parhar KKS. Tolerability and safety of awake prone positioning COVID-19 patients with severe hypoxemic respiratory failure. Can J Anaesth, 2021, 68(1): 64-70.
17. Paul V, Patel S, Royse M, et al. Proning in non-intubated (PINI) in times of COVID-19: case series and a review. J Intensive Care Med, 2020, 35(8): 818-824.
18. 新型冠状病毒肺炎诊疗方案(试行第八版)[EB/OL]. 国卫办医函〔2020〕680 号 2020. [http://www.gov.cn/zhengce/zhengceku/2020-08/19/content_5535757.htm].
19. Richter T, Bellani G, Scott Harris R, et al. Effect of prone position on regional shunt, aeration, and perfusion in experimental acute lung injury. Am J Respir Crit Care Med, 2005, 172(4): 480-487.
20. Scholten EL, Beitler JR, Prisk GK, et al. Treatment of ARDS with prone positioning. Chest, 2017, 151(1): 215-224.
21. Kallet RH. A comprehensive review of prone position in ARDS. Respir Care, 2015, 60(11): 1660-1687.
22. Douglas WW, Rehder K, Beynen FM, et al. Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis, 1977, 115(4): 559-566.
23. Feltracco P, Serra E, Barbieri S, et al. Noninvasive high-frequency percussive ventilation in the prone position after lung transplantation. Transplant Proc, 2012, 44(7): 2016-2021.
24. Bellone A, Basile A. Prone positioning in severe acute hypoxemic respiratory failure in the emergency ward. Emerg Care J, 2018, 14(1): 22-23.
25. Ding L, Wang L, Ma W, et al. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care, 2020, 24(1): 28.
26. Perez-Nieto OR, Guerrero-Gutierrez MA, Deloya-Tomas E, et al. Prone positioning combined with high-flow nasal cannula in severe noninfectious ARDS. Crit Care, 2020, 24(1): 114.
27. Caputo ND, Strayer RJ, Levitan R. Early self-proning in awake, non-intubated patients in the emergency department: A Single ED's Experience During the COVID-19 Pandemic. Acad Emerg Med, 2020, 27(5): 375-378.
28. Chad T, Sampson C. Prone positioning in conscious patients on medical wards: A review of the evidence and its relevance to patients with COVID-19 infection. Clin Med (Lond), 2020, 20(4): e97-e103.
29. Cohen D, Wasserstrum Y, Segev A, et al. Beneficial effect of awake prone position in hypoxaemic patients with COVID-19: case reports and literature review. Intern Med J, 2020, 50(8): 997-1000.
30. Elharrar X, Trigui Y, Dols AM, et al. Use of prone positioning in nonintubated patients with COVID-19 and hypoxemic acute respiratory failure. JAMA, 2020, 323(22): 2336-2338.
31. Ng Z, Tay WC, Ho CHB. Awake prone positioning for non-intubated oxygen dependent COVID-19 pneumonia patients. Eur Respir J, 2020, 56(1): 2001198.
32. Raoof S, Nava S, Carpati C, et al. High-flow, noninvasive ventilation and awake (nonintubation) proning in patients with COVID-2019 with respiratory failure. Chest, 2020, 158(5): 1992-2002.
33. Whittemore P, Macfarlane L, Herbert A, et al. Use of awake proning to avoid invasive ventilation in a patient with severe COVID-19 pneumonitis. BMJ Case Rep, 2020, 13(8): e236586.
34. Ferrando C, Mellado-Artigas R, Gea A, et al. Awake prone positioning does not reduce the risk of intubation in COVID-19 treated with high-flow nasal oxygen therapy: a multicenter, adjusted cohort study. Crit Care, 2020, 24(1): 597.
35. Taboada M, Gonzalez M, Alvarez A, et al. Effectiveness of prone positioning in nonintubated intensive care unit patients with moderate to severe acute respiratory distress syndrome by Coronavirus Disease 2019. Anesth Analg, 2021, 132(1): 25-30.
36. Gattinoni L, Chiumello D, Caironi P, et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes?. Intensive Care Med, 2020, 46(6): 1099-1102.
37. Bower G, He H. Protocol for awake prone positioning in COVID-19 patients: to do it earlier, easier, and longer. Crit Care, 2020, 24(1): 371.
38. Fan E, Brodie D, Slutsky AS. Acute respiratory distress syndrome: advances in diagnosis and treatment. JAMA, 2018, 319(7): 698-710.
39. Jiang LG, LeBaron J, Bodnar D, et al. Conscious proning: an introduction of a proning protocol for nonintubated, awake, hypoxic emergency department COVID-19 patients. Acad Emerg Med, 2020, 27(7): 566-569.
40. PulmCrit Wee- Proning the non-intubated patient[EB/OL]. https://emcrit.org/pulmcrit/proning-nonintubated/.
41. Carsetti A, Damia Paciarini A, Marini B, et al. Prolonged prone position ventilation for SARS-CoV-2 patients is feasible and effective. Crit Care, 2020, 24(1): 225.

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清醒俯卧位通气策略在低氧性呼吸衰竭患者中的应用进展

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