{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T00:12:49Z","timestamp":1793578369943,"version":"4.5.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    Negative pressure ventilation (NPV) has been used to assist patients with respiratory failure. Venovenous extracorporeal membrane oxygenation (V-V ECMO) supports patients with acute lung injury who do not respond to conventional therapy. Some patients remain on prolonged ECMO support without access to lung transplantation. We report a 40-year-old woman cannulated for V-V ECMO due to refractory hypoxemia (PaO\n                    <jats:sub>2<\/jats:sub>\n                    \/FiO\n                    <jats:sub>2<\/jats:sub>\n                    of 58) on hospital day 20 for ARDS from bacteremia and native mitral valve endocarditis. After 108 days, she continued to require ventilator and ECMO support. Applying a negative-pressure Cuirass device in combination with positive pressure ventilation (PPV) improved her carbon dioxide clearance, enhanced overall ventilation\/perfusion matching, and facilitated decannulation. Using NPV to assist in V-V ECMO weaning is a novel application of a legacy technology. This case shows NPV as an effective adjunct to PPV for patients on prolonged ECMO support with no other options.\n                  <\/jats:p>","DOI":"10.1177\/02676591251388793","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:36:11Z","timestamp":1760646971000},"page":"1065-1067","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Novel use of negative pressure ventilation for weaning of venovenous extracorporeal membrane oxygenation"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2562-746X","authenticated-orcid":false,"given":"Adam","family":"Green","sequence":"first","affiliation":[{"name":"Cooper University Health Care and Cooper Medical School of Rowan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Ashokkumar","sequence":"additional","affiliation":[{"name":"Eden Valley Medical Center Sutter Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nafisa","family":"Wadud","sequence":"additional","affiliation":[{"name":"JFK University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Feng","sequence":"additional","affiliation":[{"name":"Cooper University Health Care"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Puri","sequence":"additional","affiliation":[{"name":"Cooper University Health Care and Cooper Medical School of Rowan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Bartock","sequence":"additional","affiliation":[{"name":"Cooper University Health Care and Cooper Medical School of Rowan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000006200"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2018.09.020"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1441-2772(23)01566-1"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004830"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092589"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202111-2480OC"},{"key":"e_1_3_5_8_2","first-page":"714902","article-title":"Combined negative- and positive-pressure ventilation for the treatment of ARDS","volume":"2015","author":"Raymondos K","year":"2015","unstructured":"Raymondos K, Ahrens J, Molitoris U. Combined negative- and positive-pressure ventilation for the treatment of ARDS. Case Rep Crit Car 2015; 2015: 714902.","journal-title":"Case Rep Crit Car"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012835"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-001-1178-1"},{"key":"e_1_3_5_11_2","first-page":"e75477","article-title":"Biphasic cuirass ventilation for airway surgeries: a comprehensive review","volume":"16","author":"Bodhey A","year":"2024","unstructured":"Bodhey A, Bodhey M, Shallik NA, et al. Biphasic cuirass ventilation for airway surgeries: a comprehensive review. Cureus 2024; 16: e75477.","journal-title":"Cureus"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.4081\/mrm.2021.788"},{"key":"e_1_3_5_13_2","volume-title":"ECLS registry report international summary","author":"Extracorporeal Life Support Organization","year":"2023","unstructured":"Extracorporeal Life Support Organization. ECLS registry report international summary, 2023. https:\/\/www.elso.org\/registry\/internationalsummaryandreports\/internationalsummary.aspx (accessed 29 September 2025)."}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251388793","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591251388793","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591251388793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T08:57:16Z","timestamp":1787302636000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591251388793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,16]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/02676591251388793"],"URL":"https:\/\/doi.org\/10.1177\/02676591251388793","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,16]]}}}