Evidence map›Paper›PMID 40691817›Full record

ArticleBMC anesthesiology2025

Effects of the beach chair position on respiratory mechanics in patients with chronic obstructive pulmonary disease hospitalized in intensive care unit.

Gulseren Yilmaz, Pelin Kilic Erol, Osman Esen, Taylan Ozbey, Bedih Balkan, Ebru Kaya, Ayca Sultan Sahin, Ziya Salihoglu

Abstract read
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Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Gulseren YilmazDepartment of Anesthesiology & Reanimation, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.
Pelin Kilic ErolDepartment of Anesthesiology & Reanimation, University of Health Sciences, Cam Sakura Hospital, Istanbul, Turkey.
Osman EsenDepartment of Anesthesiology & Reanimation, Ataşehir Medicalpark Hospital, Istinye University, Istanbul, Turkey. drosmanesen@gmail.com.ORCID http://orcid.org/0000-0001-6280-5064
Taylan OzbeyDepartment of Anesthesiology & Reanimation, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.
Bedih BalkanDepartment of Intensive Care Unit, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.
Ebru KayaDepartment of Intensive Care Unit, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.
Ayca Sultan SahinDepartment of Anesthesiology & Reanimation, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.
Ziya SalihogluDepartment of Anesthesiology & Reanimation, Faculty of Medicine, University of Istanbul-Cerrahpasa, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD), which exhibits high morbidity and mortality rates, is a respiratory illness associated with persistent airflow obstruction. This study aimed to examine effects of beach chair position on respiratory mechanics in individuals with COPD hospitalized in intensive care unit (ICU) to assess its effectiveness compared to supine position.

methodsForty-six participants with COPD, admitted to the ICU and receiving either invasive or non-invasive mechanical ventilation were included in this prospective study. The subjects were initially placed in the supine position. After a few hours, the patients were positioned to spend at least 16 h a day in the beach chair position. Mechanical ventilator data were recorded every hour in each position. The primary outcome of this study included comparison of compliance, elastance, and peak airway resistance, time constant, airway resistance, pH, pCO2 and pO2 data in supine and beach chair positions.

resultsIn compared with supine positioning, beach chair positioning resulted in significant enhancement in compliance (35.98 ± 17.51 mL/cmH₂O vs. 44.69 ± 28.74 mL/cmH₂O, p- value = 0.009) and elastance (29.59 ± 11.87 cmH₂O/L vs. 39.86 ± 41.55 cmH₂O/L, p-value = 0.009) whereas peak airway pressure, time constant, airway resistance, pH, pCO₂ and pO₂ did not significantly differ between supine and beach chair position.

conclusionsBeach chair positioning improves lung compliance and elastance in individuals with COPD in ICU when compared to supine positioning. This study suggests that the beach chair position may offer significant respiratory benefits in terms of respiratory mechanics for COPD patients.

Indexed as

Patient PositioningPulmonary Disease, Chronic ObstructiveRespiratory MechanicsAgedAirway ResistanceFemaleHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesRespiration, ArtificialSupine PositionBody positioningChronic obstructive pulmonary disease (COPD)Intensive care unitsLung complianceMechanical ventilation

Identifiers

PMID40691817
PMCPMC12278618

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.