Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy
Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continu...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Goettler, Claudia E [verfasserIn] Pryor, John P [verfasserIn] Hoey, Brian A [verfasserIn] Phillips, JoAnne K [verfasserIn] Balas, Michelle C [verfasserIn] Shapiro, Michael B [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2002 |
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| Schlagwörter: |
continuous renal replacement therapy |
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| Anmerkung: |
© Goettler et al., licensee BioMed Central Ltd 2002 |
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| Übergeordnetes Werk: |
Enthalten in: Critical care - BioMed Central, 1997, 6(2002), 5 vom: 29. Aug. |
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| Übergeordnetes Werk: |
volume:6 ; year:2002 ; number:5 ; day:29 ; month:08 |
| Links: |
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| DOI / URN: |
10.1186/cc1814 |
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| Katalog-ID: |
SPR029746744 |
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| 245 | 1 | 0 | |a Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy |
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| 520 | |a Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. | ||
| 650 | 4 | |a continuous renal replacement therapy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a extra-corporeal membrane oxygenation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a positional therapy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a prone positioning |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a renal replacement therapy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a safety |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Pryor, John P |e verfasserin |4 aut | |
| 700 | 1 | |a Hoey, Brian A |e verfasserin |4 aut | |
| 700 | 1 | |a Phillips, JoAnne K |e verfasserin |4 aut | |
| 700 | 1 | |a Balas, Michelle C |e verfasserin |4 aut | |
| 700 | 1 | |a Shapiro, Michael B |e verfasserin |4 aut | |
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10.1186/cc1814 doi (DE-627)SPR029746744 (SPR)cc1814-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Goettler, Claudia E verfasserin aut Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Goettler et al., licensee BioMed Central Ltd 2002 Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. continuous renal replacement therapy (dpeaa)DE-He213 extra-corporeal membrane oxygenation (dpeaa)DE-He213 positional therapy (dpeaa)DE-He213 prone positioning (dpeaa)DE-He213 renal replacement therapy (dpeaa)DE-He213 safety (dpeaa)DE-He213 Pryor, John P verfasserin aut Hoey, Brian A verfasserin aut Phillips, JoAnne K verfasserin aut Balas, Michelle C verfasserin aut Shapiro, Michael B verfasserin aut Enthalten in Critical care BioMed Central, 1997 6(2002), 5 vom: 29. Aug. (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:6 year:2002 number:5 day:29 month:08 https://dx.doi.org/10.1186/cc1814 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 6 2002 5 29 08 |
| spelling |
10.1186/cc1814 doi (DE-627)SPR029746744 (SPR)cc1814-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Goettler, Claudia E verfasserin aut Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Goettler et al., licensee BioMed Central Ltd 2002 Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. continuous renal replacement therapy (dpeaa)DE-He213 extra-corporeal membrane oxygenation (dpeaa)DE-He213 positional therapy (dpeaa)DE-He213 prone positioning (dpeaa)DE-He213 renal replacement therapy (dpeaa)DE-He213 safety (dpeaa)DE-He213 Pryor, John P verfasserin aut Hoey, Brian A verfasserin aut Phillips, JoAnne K verfasserin aut Balas, Michelle C verfasserin aut Shapiro, Michael B verfasserin aut Enthalten in Critical care BioMed Central, 1997 6(2002), 5 vom: 29. Aug. (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:6 year:2002 number:5 day:29 month:08 https://dx.doi.org/10.1186/cc1814 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 6 2002 5 29 08 |
| allfields_unstemmed |
10.1186/cc1814 doi (DE-627)SPR029746744 (SPR)cc1814-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Goettler, Claudia E verfasserin aut Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Goettler et al., licensee BioMed Central Ltd 2002 Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. continuous renal replacement therapy (dpeaa)DE-He213 extra-corporeal membrane oxygenation (dpeaa)DE-He213 positional therapy (dpeaa)DE-He213 prone positioning (dpeaa)DE-He213 renal replacement therapy (dpeaa)DE-He213 safety (dpeaa)DE-He213 Pryor, John P verfasserin aut Hoey, Brian A verfasserin aut Phillips, JoAnne K verfasserin aut Balas, Michelle C verfasserin aut Shapiro, Michael B verfasserin aut Enthalten in Critical care BioMed Central, 1997 6(2002), 5 vom: 29. Aug. (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:6 year:2002 number:5 day:29 month:08 https://dx.doi.org/10.1186/cc1814 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 6 2002 5 29 08 |
| allfieldsGer |
10.1186/cc1814 doi (DE-627)SPR029746744 (SPR)cc1814-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Goettler, Claudia E verfasserin aut Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Goettler et al., licensee BioMed Central Ltd 2002 Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. continuous renal replacement therapy (dpeaa)DE-He213 extra-corporeal membrane oxygenation (dpeaa)DE-He213 positional therapy (dpeaa)DE-He213 prone positioning (dpeaa)DE-He213 renal replacement therapy (dpeaa)DE-He213 safety (dpeaa)DE-He213 Pryor, John P verfasserin aut Hoey, Brian A verfasserin aut Phillips, JoAnne K verfasserin aut Balas, Michelle C verfasserin aut Shapiro, Michael B verfasserin aut Enthalten in Critical care BioMed Central, 1997 6(2002), 5 vom: 29. Aug. (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:6 year:2002 number:5 day:29 month:08 https://dx.doi.org/10.1186/cc1814 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 6 2002 5 29 08 |
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10.1186/cc1814 doi (DE-627)SPR029746744 (SPR)cc1814-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Goettler, Claudia E verfasserin aut Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy 2002 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Goettler et al., licensee BioMed Central Ltd 2002 Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. continuous renal replacement therapy (dpeaa)DE-He213 extra-corporeal membrane oxygenation (dpeaa)DE-He213 positional therapy (dpeaa)DE-He213 prone positioning (dpeaa)DE-He213 renal replacement therapy (dpeaa)DE-He213 safety (dpeaa)DE-He213 Pryor, John P verfasserin aut Hoey, Brian A verfasserin aut Phillips, JoAnne K verfasserin aut Balas, Michelle C verfasserin aut Shapiro, Michael B verfasserin aut Enthalten in Critical care BioMed Central, 1997 6(2002), 5 vom: 29. Aug. (DE-627)331258269 (DE-600)2051256-9 1364-8535 nnns volume:6 year:2002 number:5 day:29 month:08 https://dx.doi.org/10.1186/cc1814 X:SPRINGER Resolving-System lizenzpflichtig Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 6 2002 5 29 08 |
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Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy |
| abstract |
Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. © Goettler et al., licensee BioMed Central Ltd 2002 |
| abstractGer |
Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. © Goettler et al., licensee BioMed Central Ltd 2002 |
| abstract_unstemmed |
Introduction Prone positioning in respiratory failure has been shown to be a useful adjunct in the treatment of severe hypoxia. However, the prone position can result in dislodgment or malfunction of tubes and cannulae. Certain patients receiving extracorporeal membrane oxygenation (ECMO) or continuous renal replacement therapy (CRRT) may also benefit from positional therapy. The impact of cannula-related complications in these patients is potentially disastrous. The safety and efficacy of prone positioning of these patients has not been previously reported. Materials and methods A retrospective chart review evaluated ECMO or CRRT cannula location, and displacement or malfunction during positional change or while prone. The study was set in a General Surgery and Trauma Intensive Care Unit. The subjects were all patients at our institution who simultaneously underwent ECMO or CRRT and prone positioning from July 1996 to July 2001. There were no interventions. Results Ten patients underwent ECMO and 42 patients underwent CRRT during the study period. Seven patients underwent simultaneous prone positioning and either ECMO (4/10) or CRRT (4/42). A total of 68 turning events (prone to supine or supine to prone) were recorded, with each patient averaging 9.7 (range, 4–16) turning episodes. Turning was performed with sheets and extra nursing personnel; no special mechanical assist devices were used. No patients experienced inadvertent cannula removal during turning. Two patients had poor flow through their cannulae. In one patient, this occurred in the supine position and required repositioning of the cannula. In the second patient, cannulae were changed twice and flow was poor in both the supine and the prone positions. All ECMO and CRRT patients received venous cannulae. Cannula location (seven internal jugular and 11 femoral) did not the affect risk of malfunction. Discussion and conclusions Patients with venous cannulae for ECMO or CRRT can be safely placed in the prone position. Flow rates are maintained in this position. Potential cannula complications of ECMO and CRRT are not a contraindication to prone positioning in severely ill patients. © Goettler et al., licensee BioMed Central Ltd 2002 |
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Prone positioning does not affect cannula function during extracorporeal membrane oxygenation or continuous renal replacement therapy |
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https://dx.doi.org/10.1186/cc1814 |
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Pryor, John P Hoey, Brian A Phillips, JoAnne K Balas, Michelle C Shapiro, Michael B |
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