Prone Position During ECMO in Pediatric Patients With Severe ARDS

Exclusion Criteria

• •1. Age \< 1 month or \> 18 years old.
• •2. ECMO initiated for more than 48 hours.
• •3. Children who have undergone cardiopulmonary resuscitation (CPR) for more than 10 minutes before ECMO initiation without restoration of spontaneous circulation, or children undergoing extracorporeal cardiopulmonary resuscitation (ECPR).
• •4. Presence of irreversible brain injury or intracranial hypertension.
• •5. Children with irreversible lung disease awaiting lung transplantation.
• •6. Children with abdominal trauma or postoperative acute respiratory distress syndrome (ARDS).
• •7. Children in whom percutaneous cannulation cannot be performed due to unstable hemodynamics within the first 48 hours after ECMO support initiation.
• •8. Other contraindications for performing percutaneous cannulation.
• •9. Liver failure.
• •10. Burn area \>20% body surface area (BSA).