When should ECMO referral be initiated?

The answer is simple, think of it “early” when the Fi02 requirement is getting high and mechanical ventilation is becoming difficult. Start thinking about it when there is single organ damage and the Fi02 is above 60% and the saturation is below 95%.

When should you refer to an ECMO center?

  • Increasing oxygen requirement
  • Increasing PEEP
  • Hard ventilation Cardiac
  • Increasing vasopressor requirement
  • Post cardiac arrest revived with intact neurogenic status

Survival advantage

Recent studies have shown a significant survival advantage when patients are referred to an ECMO center at an early stage. There has been a survival benefit upto 60 percent.

ECMO referral