Pre-ECMO Increasing Age Low body weight Duration of ventilator support prior to ECMO pH<7.18 Hispanic/Asian race PaCO2 > 70 mmHg Complications while on ECMO Circuit/pump complications (rupture) Stroke/seizures Gastrointestinal bleeding Pulmonary hemorrhage Use of or need for neuromuscular blockage pH<7.2 or pH>7.6 CPR on ECMO Inotropic medications New infections Arrhythmias |
Adapted from Brogan TV, et al. Intensive Care Med. 2009 Dec;35(12):2105-14) 1Interestingly, cardiac arrest prior to ECMO was not associated with a significantly worse outcome in the univariate model analysis (p=0.28) |
Table 5: Predictors of Poor Outcomes of ECMO Support. |