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Updated: May 28, 2026
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Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
Prone and ECMO - a contradiction per se?
1Department of Thoracic- and Cardiovascular Surgery, Klinikum Oldenburg, D-26133 Oldenburg, Germany. jens-litmathe@t-online.de
Perfusion
|October 6, 2011
Summary
Prone positioning can significantly improve outcomes for patients with severe Acute Respiratory Distress Syndrome (ARDS) requiring veno-venous Extracorporeal Membrane Oxygenation (ECMO). This case series highlights successful prone therapy in critically ill patients on ECMO.
Area of Science:
- Critical Care Medicine
- Respiratory Medicine
- Cardiopulmonary Support
Background:
- Acute Respiratory Distress Syndrome (ARDS) presents a significant clinical challenge with high mortality.
- Lung protective ventilation strategies, including alveolar recruitment and kinetic therapy, are crucial.
- Extracorporeal Membrane Oxygenation (ECMO) is vital for oxygenation and CO2 removal in severe ARDS.
Observation:
- Prone positioning is a key intervention but poses challenges in patients requiring ECMO.
- This report details two cases of critically ill patients on veno-venous ECMO who showed marked improvement with prone positioning.
- The study critically examines potential risks and adverse events associated with prone therapy during ECMO.
Findings:
- Prone positioning, when applied to patients on veno-venous ECMO, can lead to significant clinical improvement.
- Successful implementation of prone positioning in this complex patient group is feasible.
- The findings suggest a potential benefit of prone positioning in enhancing outcomes for ARDS patients on ECMO.
Implications:
- This work may inform clinical practice regarding the use of prone positioning in ARDS patients on ECMO.
- Further research is warranted to explore the safety and efficacy of this combined approach.
- Optimizing ventilation strategies in critically ill patients on ECMO remains a priority.
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