Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Aug 31;25(1):315.
doi: 10.1186/s13054-021-03675-6.

To prone or not to prone ARDS patients on ECMO

Oriol Roca  1   2 , Andrés Pacheco  3 , Marina García-de-Acilu  3   4
Affiliations
Review

To prone or not to prone ARDS patients on ECMO

Oriol Roca et al. Crit Care. .

Erratum in

Abstract

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2021. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2021 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from https://link.springer.com/bookseries/8901 .

PubMed Disclaimer

Conflict of interest statement

OR discloses a research grant from Hamilton Medical; speaker fees from Hamilton Medical, Aerogen, Gilead, Fisher&Paykel and Ambu; non-financial research support from Timpel and Masimo Corporation. Other authors have no conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Example of the changes in pulmonary mechanics and regional ventilation distribution observed in one patient with acute respiratory distress syndrome (ARDS) treated with extracorporeal membrane oxygenation (ECMO) and ventilated with pressure-control ventilation. (a) represents the change in compliance observed between supine position and 30 min after prone position; (b) represents the variation in compliance between 30 and 180 min after prone position, and (c) represents the change in compliance between supine and 180 min after proning. Green area represents compliance gain and red region represents compliance loss. Vt tidal volume, PBW predicted body weight, Pplateau plateau pressure, PEEP positive end-expiratory pressure, EIT electrical impedance tomography
See this image and copyright information in PMC

References

    1. Guérin C, Albert RK, Beitler J, et al. Prone position in ARDS patients: why, when, how and for whom. Intensive Care Med. 2020;46:2385–2396. doi: 10.1007/s00134-020-06306-w. - DOI - PMC - PubMed
    1. Pelosi P, Tubiolo D, Mascheroni D, Vicardi P, Crotti S, Valenza F, Gattinoni L. Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med. 1998;157:387–393. doi: 10.1164/ajrccm.157.2.97-04023. - DOI - PubMed
    1. Gattinoni L, Taccone P, Carlesso E, Marini JJ. Prone position in acute respiratory distress syndrome. Rationale, indications, and limits. Am J Respir Crit Care Med. 2013;188:1286–93. - PubMed
    1. Mure M, Domino KB, Lindahl SG, Hlastala MP, Altemeier WA, Glenny RW. Regional ventilation- perfusion distribution is more uniform in the prone position. J Appl Physiol. 1985;2000(88):1076–1083. - PubMed
    1. Gattinoni L, Vagginelli F, Carlesso E, Taccone P, Conte V, Chiumello D, et al. Decrease in PaCO2 with prone position is predictive of improved outcome in acute respiratory distress syndrome. Crit Care Med. 2003;31:2727–2733. doi: 10.1097/01.CCM.0000098032.34052.F9. - DOI - PubMed

Publication types

MeSH terms

LinkOut - more resources