Prone positioning in ARDS patients supported with VV ECMO, what we should explore?

ABSTRACT:

Background

Acute respiratory distress syndrome (ARDS), a prevalent cause of admittance to intensive care units, is associated with high mortality. Prone positioning has been proven to improve the outcomes of moderate to severe ARDS patients owing to its physiological effects. Venovenous extracorporeal membrane oxygenation (VV ECMO) will be considered in patients with severe hypoxemia. However, for patients with severe hypoxemia supported with VV ECMO, the potential effects and optimal strategies of prone positioning remain unclear. This review aimed to present these controversial questions and highlight directions for future research.

Main body

The clinically significant benefit of prone positioning and early VV ECMO alone was confirmed in patients with severe ARDS. However,

SUBMITTER: Zhang H 

PROVIDER: S-EPMC9531855 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature