{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T07:03:44Z","timestamp":1778569424199,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The prone position is recommended as supportive therapy in patients with moderate-to-severe acute respiratory distress syndrome (ARDS). However, little is known about prone position ventilation in patients with cardiogenic shock supported by extracorporeal membrane oxygenation (ECMO) plus Impella (ECPELLA) developing ARDS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 66-year-old man with severe left ventricular dysfunction was admitted to a non-academic ECMO centre for a high-risk coronary artery bypass grafting. He developed post-cardiotomy shock needing ECMO support. To improve left ventricular unloading, an Impella was inserted 2 days later. One day later, he developed ARDS and needed prone position ventilation with ECPELLA in situ. After 4 weeks, he was discharged from the intensive care unit.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Previous studies demonstrated that prone positioning could help avoid an additional venous cannula in veno-arterial ECMO patients, which is associated with mechanical complications. In this case, there was a promising role for unloading the left ventricle with Impella during veno-arterial ECMO and, for proning, the patient with cardiogenic shock developing ARDS during ECMO support without the need for an extra venous cannula.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae165","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T14:11:37Z","timestamp":1712067097000},"source":"Crossref","is-referenced-by-count":2,"title":["Proning the extracorporeal membrane oxygenation plus Impella: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6162-5747","authenticated-orcid":false,"given":"Marjolein C","family":"de Jongh","sequence":"first","affiliation":[{"name":"Department of Intensive Care, Haga Teaching Hospital , Els Borst-Eilersplein 275, The Hague 2545 AA , The Netherlands"},{"name":"Department of Cardiology, Haga Teaching Hospital , Els Borst-Eilersplein 275, The Hague 2545 AA , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthijs","family":"Bax","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Haga Teaching Hospital , Els Borst-Eilersplein 275, The Hague 2545 AA , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Ayan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Haga Teaching Hospital , The Hague , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sakir","family":"Akin","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, Haga Teaching Hospital , Els Borst-Eilersplein 275, The Hague 2545 AA , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"2024043014133224700_ytae165-B1","doi-asserted-by":"crossref","first-page":"821","DOI":"10.5301\/ijao.5000254","article-title":"Prone position during ECMO is safe and improves oxygenation","volume":"36","author":"Kipping","year":"2013","journal-title":"Int J Artif Organs"},{"key":"2024043014133224700_ytae165-B2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s13613-015-0078-4","article-title":"Prolonged prone positioning under VV-ECMO is safe and improves oxygenation and respiratory compliance","volume":"5","author":"Kimmoun","year":"2015","journal-title":"Ann Intensive Care"},{"key":"2024043014133224700_ytae165-B3","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1186\/s13054-021-03723-1","article-title":"Prone positioning during venovenous extracorporeal membrane oxygenation for acute respiratory distress 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