Pediatric Referrals

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 > .8 x 12 hours PaO2/FiO2 < 150 P(A-a) O2 > 450 mm Hg Respiratory Acidosis: pH < 7.28 with 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:

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

For Pediatric referrals please call 1-734-936-6626, pager # 9766.