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Related Experiment Video

Updated: May 28, 2026

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

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?

J Litmathe¹, C Sucker, J Easo

¹Department of Thoracic- and Cardiovascular Surgery, Klinikum Oldenburg, D-26133 Oldenburg, Germany. jens-litmathe@t-online.de

|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.

Related Experiment Videos

Last Updated: May 28, 2026

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

Published on: January 17, 2025

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.