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Table 3 Complications and unexpected events related to prone positioning or inhaled sedation

From: Does volatile sedation with sevoflurane allow spontaneous breathing during prolonged prone positioning in intubated ARDS patients? A retrospective observational feasibility trial

Patient number

Type of complication

Reason

Management

Result

063

Pharyngeal dislocation of endotracheal tube

Unclear whether the patient extubated herself with her tongue or fixation of the tube unsticked because of salivation

Already spontaneous breathing → Noninvasive Ventilation, turned back, re-intubation

No hypoxia, turned back in PP after re-intubation

019

Insufficient sedation

Technical defect of Anaconda

Dexmedetomidine infusion

PP continued

094

Insufficient sedation

Low tidal volume

Sufentanil infusion

PP continued

095

Insufficient sedation

Low tidal volume

Sufentanil infusion

PP continued

056

Respiratory acidosis

Unclear

Controlled ventilation → still acidodic → turned back to supine position, Anaconda removed

Still acidotic in supine position

072

Respiratory acidosis

Retrospectively: kinked tube

Turned back, refixation of tube

PP continued

  1. PP Prone positioning