Tuesday, November 29, 2011

Q: What are the absolute and relative contraindications to Extracorporeal membrane oxygenation (ECMO) in Patients with ARDS?


Absolute contraindications to ECMO include:
  • Ongoing terminal disease that will not resolve or stabilize,
  • contraindication to anticoagulation,
  • intracranial hemorrhage,
  • refusal to receive blood products
Relative contraindications to ECMO (due to historically poor survival rates): 
  • Mechanical ventilatory support for more than 10 days and high pressure mechanical ventilatory support for more than 7 days

Extracorporeal membrane oxygenation (ECMO) in Patients with ARDS - Pauline K. Park M.D., James M. Blum M.D., Lena M. Napolitano, M.D., Gail Annich, M.D., Jonathan W. Haft, M.D., and Robert H. Bartlett, M.D. - University of Michigan Health System -http://www.thoracic.org/clinical/critical-care/refractory-ards/pages/ecmo.php

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