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Correspondence
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Volume 346:295-297 January 24, 2002 Number 4
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Prone Positioning of Patients with Acute Respiratory Failure

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To the Editor: Gattinoni et al. (Aug. 23 issue)1 reported that placing patients with acute respiratory failure in a prone position improved their oxygenation but not their survival. One reason why improved oxygenation did not translate into a reduction in mortality might be that the duration of pronation was too short — only seven hours per day on average — as pointed out by Slutsky in his editorial.2 In our nine-year experience with prone positioning of patients during ventilation, we have used a different protocol.3,4 We use the same indications and timing that Gattinoni et al. used, but we do . . . [Full Text of this Article]

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