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 > 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.