Prolonged prone positioning under VV-ECMO is safe and improves oxygenation and respiratory compliance.

ABSTRACT:

Background

Data are sparse regarding the effects of prolonged prone positioning (PP) during VV-ECMO. Previous studies, using short sessions (<12 h), failed to find any effects on respiratory system compliance. In the present analysis, the effects of prolonged PP sessions (24 h) were retrospectively studied with regard to safety data, oxygenation and respiratory system compliance.

Methods

Retrospective review of 17 consecutive patients who required both VV-ECMO and prone positioning. PP under VV-ECMO was considered when the patient presented at least one unsuccessful ECMO weaning attempt after day 7 or refractory hypoxemia combined or not with persistent high plateau pressure. PP sessions had a duration of 24 h with fixed ECMO and respiratory settings. PP was not performed in

SUBMITTER: Kimmoun A 

PROVIDER: S-EPMC4633431 | biostudies-literature | 2015 Dec

REPOSITORIES: biostudies-literature