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Related Experiment Videos

Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal

Claudia E Goettler1, John P Pryor, Brian A Hoey

  • 1Division of Traumatology and Surgical Critical Care, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

Critical Care (London, England)
|October 26, 2002
PubMed
Summary

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Prone positioning is safe for patients on extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT). This therapy did not increase cannula complications, ensuring safe treatment for critically ill patients.

Area of Science:

  • Critical Care Medicine
  • Cardiopulmonary Support
  • Renal Support

Background:

  • Prone positioning improves oxygenation in respiratory failure.
  • Cannula dislodgement is a risk during prone positioning.
  • Extracorporeal membrane oxygenation (ECMO) and continuous renal replacement therapy (CRRT) patients may benefit from prone positioning.

Purpose of the Study:

  • To evaluate the safety and efficacy of prone positioning in patients undergoing ECMO or CRRT.
  • To assess the incidence of cannula-related complications during prone positioning in these patients.

Main Methods:

  • Retrospective chart review of patients on ECMO or CRRT who underwent prone positioning.
  • Evaluation of cannula location, displacement, and malfunction during positional changes.

Related Experiment Videos

  • Study conducted in a General Surgery and Trauma Intensive Care Unit.

    • Main Results:

    • Seven patients (4 on ECMO, 4 on CRRT) were repositioned.
    • A total of 68 turning events were recorded with no inadvertent cannula removals.
    • Two patients experienced poor cannula flow, one in the supine position, and one in both positions.

    Conclusions:

    • Prone positioning is safe for patients with venous cannulae for ECMO or CRRT.
    • Cannula flow rates are maintained in the prone position.
    • Potential cannula complications do not contraindicate prone positioning for critically ill patients.