Adult Criteria for ECMO

Common Adult Diagnoses/Indications

  • Influenza
  • Viral/Bacterial Pneumonia
  • Burn and Inhalation Injury
  • Traumatic Lung Injury
  • Pulmonary Contusion
  • Pulmonary Embolism
  • Post-Shock or Sepsis associated with ARDS, or other forms of reversible acute lung injury or illness
  • Acute Respiratory Distress (ARDS)

Contraindications

  • Mechanical ventilation at high settings (FIO2 > 0.9, P-plat > 30) for > 7 days.
  • Unwitnessed arrest
  • Total arrest time >60 min
  • Chest compressions not initiated within 10 minutes of arrest
  • Pre-existing sever neurological disease or injury prior to arrest
  • Age: no specific age contraindication but consider increasing risk with increasing age

Call Early If

  • Considering proning
  • Adding paralytic agent
  • Increasing mechanical ventilation
  • Patient still has single organ failure