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Date Published: 24/04/2026
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DOI: https://doi.org/10.51298/vmj.v560i3.17925
Issue
Vol. 560 No. 3 (2026)
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Các bài báo
How to Cite
Lê , Q. T., Nguyễn , N. L., & Trần, Đình H. (2026). SAFETY OF PRONE POSITION VENTILATION IN SEVERE BURN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME. Vietnam Medical Journal, 560(3). https://doi.org/10.51298/vmj.v560i3.17925

SAFETY OF PRONE POSITION VENTILATION IN SEVERE BURN PATIENTS WITH ACUTE RESPIRATORY DISTRESS SYNDROME

Quang Thảo Lê , Như Lâm Nguyễn , Đình Hùng Trần

Main Article Content

Abstract

Objectives: To evaluate the safety of prone position ventilation (PPV) in severe burn patients with acute respiratory distress syndrome (ARDS). Subjects and Methods: A prospective, descriptive, longitudinal study was conducted on 48 adult burn patients with ARDS treated at the Intensive Care Unit of the National Burn Hospital from January 2023 to December 2025. Hemodynamic complications, gastrointestinal adverse events, and complications related to positioning and pressure injuries were monitored before and during prone positioning. Results: Hemodynamic indices (heart rate, mean arterial pressure, central venous pressure, cardiac output, cardiac index) showed no statistically significant changes over time (p > 0.05). Stroke volume index (SVI) increased significantly at T16 compared to T0 (p = 0.023). The overall complication rate was low: gastric content regurgitation 12.5%; catheter dislodgement 2.08%; displacement of skin graft 11.11% (1 out of 9 patients with grafting). The most common complication was facial edema (58.33%), but no cases of pressure ulcers were recorded. Conclusions: Prone position ventilation is a relatively safe intervention in severe burn patients with ARDS, causing no adverse effects on hemodynamics and associated with a low rate of complications and adverse events.

Article Details

Keywords

prone position ventilation, burns, ARDS, safety.

References

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