Table 2. Effects of changing position from supine on respiratory mechanics and oxygenation in ARDS patients.
Variable | Sitting/upright position | Lateral position | Prone position |
---|---|---|---|
Functional residual capacity or end-expiratory lung volume | ↑ | NA | ↑ |
Respiratory resistance | ↓ | ↑ | ↓ or → |
Respiratory compliance | ↑ or → | ↓ | ↑ or → |
Lung compliance | NA | ↓ | ↑ |
Chest wall compliance | NA | ↓ | ↓ |
Driving pressure | NA | NA | → |
Intrinsic PEEP | ↓ | NA | ↓ |
Work of breathing | ↓ | NA | NA |
Oxygenation | ↑ | → | ↑ |
↑, increase from the supine position; →, no change from the supine position ↓, decrease from the supine position. ARDS, acute respiratory distress syndrome; NA, not available; PEEP, positive end expiratory pressure.