Acute severe hypoxaemia after mechanical ventilation in a patient with an Ebstein anomaly requiring extracorporeal membrane oxygenation.

case, however, which demonstrates that this technique can be used safely despite multiple traumatic thoracic injuries, including complex sternal fractures and a flail segment. Several of the key studies of prone ventilation specifically excluded patients with severe chest wall injuries 7 or intracranial hypertension. 8 We believe this case illustrates that this treatment may, with care, be considered for such patients and also suggest that they should not be excluded from further studies in this field.