Prone position during ECMO is safe and improves oxygenation

International Journal of Artificial Organs

Volumn 36, Issue 11, 2013, Pages 821-832

  Kipping, Valesca ^a   Weber Carstens, Steffen ^a   Lojewski, Christian ^a   Feldmann, Paul ^a   Rydlewski, Antje ^a   Boemke, Willehad ^a   Spies, Claudia ^a   Kastrup, Marc ^a   Kaisers, Udo X ^b   Wernecke, Klaus D ^a   Deja, Maria ^a  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b UNIVERSITY OF LEIPZIG   (Germany)

Author keywords

Acute respiratory distress syndrome (ARDS); Complication rate; Extracorporeal membrane Oxygenation; Prone positioning

Indexed keywords

BLOOD PRESSURE; HEMODYNAMICS; MULTIVARIANT ANALYSIS; OXYGENATION; VENTILATION;

ACUTE RESPIRATORY DISTRESS SYNDROME; COMPLICATION RATE; EXTRACORPOREAL MEMBRANE OXYGENATION; GAS EXCHANGE; HAEMODYNAMICS; MECHANICAL VENTILATION; PRONE POSITION; PRONE POSITIONING; RETROSPECTIVE ANALYSIS;

RESPIRATORY THERAPY;

ADOLESCENT; ADULT; ARTICLE; ARTIFICIAL VENTILATION; BODY POSTURE; CANNULA; CLINICAL ARTICLE; EQUIPMENT; EXTRACORPOREAL OXYGENATION; FEMALE; GAS EXCHANGE; HEMODYNAMICS; HUMAN; MALE; MEMBRANE OXYGENATOR; OCCLUSIVE PUMP; POSTOPERATIVE COMPLICATION; SEVERE ACUTE RESPIRATORY SYNDROME; TRACHEA OBSTRUCTION; ADULT RESPIRATORY DISTRESS SYNDROME; PROSPECTIVE STUDY; RETROSPECTIVE STUDY;

EXTRACORPOREAL MEMBRANE OXYGENATION; HUMANS; PRONE POSITION; PROSPECTIVE STUDIES; RESPIRATORY DISTRESS SYNDROME, ADULT; RETROSPECTIVE STUDIES;

EID: 84890304305     PISSN: 03913988     EISSN: None     Source Type: Journal    
DOI: 10.5301/ijao.5000254     Document Type: Article

References (34)

1. Lewandowski K, Rossaint R, Pappert D, et al. High survival rate in 122 ARDS patients managed according to a clinical algorithm including extracorporeal membrane oxygenation. Intensive Care Med. 1997;23(8):819-835.
2. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1301-1308.
3. Villar J, Kacmarek RM, Pérez-Méndez L, Aguirre-Jaime A. A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial. Crit Care Med. 2006;34(5):1311-1318.
4. Hager DN, Krishnan JA, Hayden DL, Brower RG; ARDS Clinical Trials Network. Tidal volume reduction in patients with acute lung injury when plateau pressures are not high. Am J Respir Crit Care Med. 2005;172(10):1241-1245.
5. Sud S, Friedrich JO, Taccone P, et al. Prone ventilation reduces mortality in patients with acute respiratory failure and severe hypoxemia: systematic review and meta-analysis. Intensive Care Med. 2010;36(4):585-599.
6. Rivers E, Nguyen B, Havstad S, et al; Early Goal-Directed Therapy Collaborative Group. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345(19):1368-1377.
7. Adhikari NKJ, Burns KEA, Friedrich JO, Granton JT, Cook DJ, Meade MO. Effect of nitric oxide on oxygenation and mortality in acute lung injury: systematic review and metaanalysis. BMJ. 2007;334(7597):779.
8. Peek GJ, Mugford M, Tiruvoipati R, et al; CESAR trial collaboration. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 2009;374(9698): 1351-1363.
9. Deja M, Hommel M, Weber-Carstens S, et al. Evidencebased therapy of severe acute respiratory distress syndrome: an algorithm-guided approach. J Int Med Res. 2008;36(2): 211-221.
10. Guérin C, Reignier J, Richard J-C, et al; the PROSEVA Study Group. Prone Positioning in Severe Acute Respiratory Distress Syndrome. N Engl J Med. 2013; 368(23):2159-2168.
11. Zapol WM, Snider MT, Hill JD, et al. Extracorporeal membrane oxygenation in severe acute respiratory failure. A randomized prospective study. JAMA. 1979;242(20):2193-2196.
12. Morris AH, Wallace CJ, Menlove RL, et al. Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med. 1994;149(2 Pt 1):295-305.
13. Gattinoni L, Tognoni G, Pesenti A, et al; Prone-Supine Study Group. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med. 2001;345(8): 568-573.
14. Guerin C, Gaillard S, Lemasson S, et al. Effects of systematic prone positioning in hypoxemic acute respiratory failure: a randomized controlled trial. JAMA. 2004;292(19):2379-2387.
15. Mancebo J, Fernández R, Blanch L, et al. A multicenter trial of prolonged prone ventilation in severe acute respiratory distress syndrome. Am J Respir Crit Care Med. 2006;173(11): 1233-1239.
16. Taccone P, Pesenti A, Latini R, et al; Prone-Supine II Study Group. Prone positioning in patients with moderate and severe acute respiratory distress syndrome: a randomized controlled trial. JAMA. 2009;302(18):1977-1984.
17. Goettler CE, Pryor JP, Hoey BA, Phillips JK, Balas MC, Shapiro MB. Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy. Crit Care. 2002;6(5):452-455.
18. Haefner SM, Bratton SL, Annich GM, Bartlett RH, Custer JR. Complications of intermittent prone positioning in pediatric patients receiving extracorporeal membrane oxygenation for respiratory failure. Chest. 2003;123(5):1589-1594.
19. Sud S, Sud M, Friedrich JO, Adhikari NK. Effect of mechanical ventilation in the prone position on clinical outcomes in patients with acute hypoxemic respiratory failure: a systematic review and meta-analysis. CMAJ. 2008;178(9): 1153-1161.
20. Litmathe J, Sucker C, Easo J, Wigger L, Dapunt O. Prone and ECMO-a contradiction per se? Perfusion. 2012;27(1):78-82.
21. Pelosi P, Tubiolo D, Mascheroni D, et al. Effects of the prone position on respiratory mechanics and gas exchange during acute lung injury. Am J Respir Crit Care Med. 1998;157(2): 387-393.
22. Lee DL, Chiang H-T, Lin S-L, Ger LP, Kun MH, Huang YC. Prone-position ventilation induces sustained improvement in oxygenation in patients with acute respiratory distress syndrome who have a large shunt. Crit Care Med. 2002;30(7): 1446-1452.
23. Watson PL, Shintani AK, Tyson R, Pandharipande PP, Pun BT, Ely EW. Presence of electroencephalogram burst suppression in sedated, critically ill patients is associated with increased mortality. Crit Care Med. 2008;36(12): 3171-3177.
24. Blanch L, Mancebo J, Perez M, et al. Short-term effects of prone position in critically ill patients with acute respiratory distress syndrome. Intensive Care Med. 1997;23(10):1033-1039.
25. Chatte G, Sab JM, Dubois JM, Sirodot M, Gaussorgues P, Robert D. Prone position in mechanically ventilated patients with severe acute respiratory failure. Am J Respir Crit Care Med. 1997;155(2):473-478.
26. Flaatten H, Aardal S, Hevrøy O. Improved oxygenation using the prone position in patients with ARDS. Acta Anaesthesiol Scand. 1998;42(3):329-334.
27. Lee K, Kim M-Y, Yoo J-W, Hong SB, Lim CM, Koh Y. Clinical meaning of early oxygenation improvement in severe acute respiratory distress syndrome under prolonged prone positioning. Korean J Intern Med. 2010;25(1):58-65.
28. Nakos G, Tsangaris I, Kostanti E, et al. Effect of the prone position on patients with hydrostatic pulmonary edema compared with patients with acute respiratory distress syndrome and pulmonary fibrosis. Am J Respir Crit Care Med. 2000;161(2 Pt 1):360-368.
29. Reutershan J, Schmitt A, Dietz K, et al. Alveolar recruitment during prone position: time matters. Clin Sci (Lond). 2006;110(6):655-663.
30. Papazian L, Paladini MH, Bregeon F, et al. Is a short trial of prone positioning sufficient to predict the improvement in oxygenation in patients with acute respiratory distress syndrome? Intensive Care Med. 2001;27(6):1044-1049.
31. Rossetti HB, Machado FR, Valiatti JL, et al. Effects of prone position on the oxygenation of patients with acute respiratory distress syndrome. Sau Paulo Med J. 2006;124(1):15-20.
32. Tiruvoipati R, Bangash M, Manktelow B, Peek GJ. Efficacy of prone ventilation in adult patients with acute respiratory failure: a meta-analysis. J Crit Care. 2008;23(1):101-110.
33. Hopkins RO, Weaver LK, Pope D, Orme JF, Bigler ED, Larson-LOHR V. Neuropsychological sequelae and impaired health status in survivors of severe acute respiratory distress syndrome. Am J Respir Crit Care Med. 1999;160(1):50-56.
34. Bein T, Weber-Carstens S, Goldmann A, et al. Lower tidal volume strategy (s3 ml/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 ml/kg) in severe ARDS: the prospective randomized Xtravent-study. Intensive Care Med. 2013;39(5):847-856.