Journal of Modern Nursing MedicineJPCNS

Objective To investigate the clinical effect of prone ventilation (PPV) intervention in patients with extracorporeal membrane oxygenation (ECMO) in ICU. Methods From January 2020 to December 2024, 80 patients receiving ECMO support treatment in ICU of our hospital were selected and divided into 40 patients each according to random number table method. The control group received routine supine ventilation intervention, and the observation group received PPV intervention. Arterial blood gas indexes (SaO2/ arterial oxygen saturation, PaO2/ partial pressure of blood oxygen) of the two groups were compared in T0 (before ECMO treatment), T1 (after ECMO treatment), T2 (1d after body position intervention), T3 (3d after body position intervention) and T4 (5d after body position intervention). The success rate of ECMO withdrawal and the mortality rate at day 7, day 14 and day 28 of ICU admission were recorded and compared between the two groups. Results Compared with T0 time points, the arterial blood gas indexes of SaO2 and PaO2 in both groups were increased at T1-T4 time points, and the observation group was higher than the control group (P < 0.05). The success rate of ECMO withdrawal in the observation group was higher than that in the control group, and the mortality rate on the 7th, 14d and 28d of ICU admission was lower than that of the control group (P < 0.05). Conclusion The implementation of PPV intervention in ICU patients receiving ECMO support treatment can improve the respiratory function and the probability of successful withdrawal, and reduce the mortality of patients, which is worthy of clinical promotion.

ICU; Extracorporeal membrane oxygenation support therapy; Prone position ventilation; Arterial blood gas index; Probability of successful withdrawal