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Eligibility Criteria for ECMO:

  • Duration of Ventilation:
    • < 2 years <10 days
    • 2 - 8 years < 8 days
    • > 8 years < 6 days
  • Respiratory Failure: PEEP > 8 cm H2O x 12 hours
  • FiO2 > 0.8 x 12 hours
  • PaO2/FiO2 < 150 P(A-a) O2 > 450 mm Hg
  • Respiratory Acidosis: pH < 7.28
  • Peak Inspiratory Pressure 40 cm H2O or Airleak Syndrome Maximal minute ventilation without air trapping
  • Reasonable Medical Certainty of Quality of Life

Exclusion Criteria for ECMO:

  • Days of Ventilation
    • < 2 years > 10 days
    • 2 - 8 years > 8 days
    •  > 8 years > 6 days
  • Major hemorrhage
  • Immunosuppression
  • Cardiac arrest with neurologic impairment
  • Recent cerebral-vascular accident
  • Low certainty of quality of life.

Further discussion of the above criteria can be found in ECLS for Children with Acute Respiratory Distress Syndrome.

For Pediatric referrals please call 1-734-936-6266, pager # 9766, or contact M-Line or the UM Transfer Center.

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