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Acute Respiratory Distress in the Operating Room and Prone Ventilation: A Case Report

Yajnik, Vishal MD, MS; Breslin, Kathryn M. MD; Riley, Christa MD

doi: 10.1213/XAA.0000000000000832
Case Reports

There have been many advances in the management of acute respiratory distress syndrome, a condition which Bellani et al, in the LUNG SAFE trial (Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure), found represents up to 10.4% of intensive care unit admissions and 23.4% of patients requiring mechanical ventilation, with an unadjusted intensive care unit and hospital mortality of 35.3% and 40%, respectively. Studies have shown that prone positioning can improve oxygenation in patients who are mechanically ventilated for acute respiratory distress syndrome. This case report describes an example in which intraoperative prone positioning improved oxygenation in a patient after aspiration of gastric contents on induction of general anesthesia.

From the Department of Anesthesiology, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Accepted for publication May 22, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Vishal Yajnik, MD, 1712 Park Ave, Richmond, VA 23220. Address e-mail to

Copyright © 2018 International Anesthesia Research Society
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