Effects of lung recruitment intervention combined with high lateral position on the rehabilitation and complications of mechanically ventilated patients with severe pneumonia and acute respiratory distress syndrome
LIU Jiang
XU Weihua
LIU Yang
Abstract：Objective To explore the effects of lung recruitment intervention combined with high lateral position on the rehabilitation and complications of mechanically ventilated patients with severe pneumonia and acute respiratory distress syndrome(ARDS).Methods A total of 70 patients with severe pneumonia and ARDS who received mechanical ventilation from December 2021 to December 2023 were randomly divided into the observation group(odd numbered,n=35)and control group(even numbered,n=35)using blind sampling method based on the odd/even number in the envelope.High lateral lying mechanical ventilation was given in both groups,while patients in the observation group additionally received lung recruitment intervention.Rehabilitation effects,mechanical ventilation-related indicators,respiratory function and incidence of complications were compared between groups.Results Length of stay,length in intensive care unit(ICU)and mechanical ventilation time of the observation group were significantly shorter than those of the control group,while the success rate of weaning was significantly higher(P＜0.05).The oxygenation index,lung static compliance(Cst)and lung dynamic compliance(Cdyn)of the observation group were significantly higher than those of the control group,while the rapid shallow breathing index(RSBI)and peak inflation pressure(PIP)levels were significantly lower(P＜0.05).The incidence of complications in the observation group was significantly lower than that of the control group(14.29％,vs 42.86％,X2=7.000,P=0.008).Conclusion The implementation of lung recruitment intervention combined with high lateral position mechanical ventilation in patients with severe pneumonia and ARDS effectively improves oxygenation function,accelerates rehabilitation process,enhances respiratory function and reduces the incidence of complications.
Keywords：severe pneumoniaacute respiratory distress syndromemechanical ventilationhigh lateral positionlung recruitment
Publication Date：2024-11-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 3272-3275,3279 )