Indian Journal of ECMO

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VOLUME 1 , ISSUE 3-4 ( July-December, 2023 ) > List of Articles


Prone Positioning in Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) in COVID-19 Acute Respiratory Distress Syndrome (ARDS)

Rahul Dixit, Arpan Chakraborty

Keywords : Acute respiratory distress syndrome, Coronavirus disease of 2019, Proning, Prone positioning, Venovenous ECMO

Citation Information : Dixit R, Chakraborty A. Prone Positioning in Venovenous Extracorporeal Membrane Oxygenation (VV-ECMO) in COVID-19 Acute Respiratory Distress Syndrome (ARDS). Indian J ECMO 2023; 1 (3-4):83-85.

DOI: 10.5005/jaypee-journals-11011-0019

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Background: There is a lack of scientific evidence on the beneficial effects of proning in COVID-19 ARDS patients on venovenous extracorporeal membrane oxygenation (VV-ECMO). This is the first original article from India that compared the effects of prone positioning in patients in VV-ECMO, the indication of ECMO being COIVD-19-associated acute respiratory distress syndrome (ARDS). Methodology: In this single-center retrospective observational study, we divided the COVID-19-associated ARDS patients on VV-ECMO into 2 groups, the supine group, and the prone group. The primary outcome parameter was 30 days mortality. Secondary outcome parameters were the length of ICU stay, days on VV-ECMO, and duration of mechanical ventilation. Results: There was no statistical difference in mortality (p = 0.9) between the supine and prone groups. There were no statistically significant findings in the secondary outcome parameters too. Conclusion: Prone positioning did not show a statistically significant benefit in mortality in COVID-19 ARDS patients on VV-ECMO. Although, there was a numerically lower percentage of mortality in prone patients. Additionally in numerical terms, patients had shorter ICU stays, fewer days on VV-ECMO, and shorter duration of mechanical ventilation who were proned.

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