Physiological and clinical effects of trunk inclination adjustment in patients with respiratory failure: a scoping review and narrative synthesis

Simple item page
dc.article.number228 (2024)
dc.catalogadoraba
dc.contributor.authorBenites, Martín H.
dc.contributor.authorZapata Canivilo, Marcelo
dc.contributor.authorPoblete, Fabian
dc.contributor.authorLabbe, Francisco
dc.contributor.authorBattiato, Romina
dc.contributor.authorFerre, Andrés
dc.contributor.authorDreyse, Jorge
dc.contributor.authorBugedo, Guillermo
dc.contributor.authorBruhn, Alejandro
dc.contributor.authorCosta, Eduardo L. V.
dc.contributor.authorRetamal, Jaime
dc.date.accessioned2024-07-22T16:43:27Z
dc.date.available2024-07-22T16:43:27Z
dc.date.issued2024
dc.date.updated2024-07-14T00:03:39Z
dc.description.abstractBackground Adjusting trunk inclination from a semi-recumbent position to a supine-flat position or vice versa in patients with respiratory failure significantly affects numerous aspects of respiratory physiology including respiratory mechanics, oxygenation, end-expiratory lung volume, and ventilatory efficiency. Despite these observed effects, the current clinical evidence regarding this positioning manoeuvre is limited. This study undertakes a scoping review of patients with respiratory failure undergoing mechanical ventilation to assess the effect of trunk inclination on physiological lung parameters. Methods The PubMed, Cochrane, and Scopus databases were systematically searched from 2003 to 2023. Interventions: Changes in trunk inclination. Measurements: Four domains were evaluated in this study: 1) respiratory mechanics, 2) ventilation distribution, 3) oxygenation, and 4) ventilatory efficiency. Results After searching the three databases and removing duplicates, 220 studies were screened. Of these, 37 were assessed in detail, and 13 were included in the final analysis, comprising 274 patients. All selected studies were experimental, and assessed respiratory mechanics, ventilation distribution, oxygenation, and ventilatory efficiency, primarily within 60 min post postural change. Conclusion In patients with acute respiratory failure, transitioning from a supine to a semi-recumbent position leads to decreased respiratory system compliance and increased airway driving pressure. Additionally, C-ARDS patients experienced an improvement in ventilatory efficiency, which resulted in lower PaCO2 levels. Improvements in oxygenation were observed in a few patients and only in those who exhibited an increase in EELV upon moving to a semi-recumbent position. Therefore, the trunk inclination angle must be accurately reported in patients with respiratory failure under mechanical ventilation.
dc.fechaingreso.objetodigital2024-07-22
dc.fuente.origenBiomed Central
dc.identifier.doi10.1186/s13054-024-05010-1
dc.identifier.issn1364-8535
dc.identifier.urihttps://doi.org/10.1186/s13054-024-05010-1
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/87199
dc.information.autorucEscuela de Medicina; Benites, Martín H.; S/I; 1246778
dc.issue.numero1
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final16
dc.pagina.inicio1
dc.revistaCritical Care
dc.rightsacceso abierto
dc.rights.licenseATTRIBUTION 4.0 INTERNATIONAL
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAcute respiratory distress syndrome
dc.subjectBody position
dc.subjectEnd-expiratory lung volume
dc.subjectDriving pressure
dc.subjectRespiratory dead space
dc.subjectTrunk inclination
dc.subjectTidal volume
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titlePhysiological and clinical effects of trunk inclination adjustment in patients with respiratory failure: a scoping review and narrative synthesis
dc.typeartículo
dc.volumen28
sipa.codpersvinculados1246778
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
13054_2024_Article_5010.pdf
Size:
3.09 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.98 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Artículos de revistas