From: Current knowledge gaps in extracorporeal respiratory support
Technique | Indications |
---|---|
V-V ECMO | Severe ARDS with one of following, after optimization of MV [18]: • PaO2/FiO2 < 50 mmHg with FiO2 ≥ 0.8 for > 3 h • PaO2/FiO2 < 80 mmHg with FiO2 ≥ 0.8 for > 6 h • pH < 7.25 (with PaCO2 ≥ 60 mmHg) for > 6 h (with RR increased to 35 bpm) |
V-V ECCO2R | • Moderate ARDS with Pplat > 30 cmH2O after optimization of MV [19] • Acute hypercapnic exacerbation of COPD, with two of following, after 2 h of NIV [20]: – arterial pH ≤ 7.25 – RR ≥ 30 bpm – use of accessory muscles or paradoxical abdominal movements |
Combined CRRT-ECCO2R | Mild or moderate ARDS with AKI needing CRRT [21] |