ECMO when to initiate or refer


  • initiate VV ecmo when P:F < 80, refractory hypoxemia or hypercapnia with pCO2 > 60
    • Use RESP score
    • bronchopleural fistula, ARDS, obstruction
  • Use Va ecmo for refractory cardiogenic shock or cardiac arrest
    • PE, overdose
    • use SAVE score