A 50-year-old man with severe ARDS is being ventilated. Despite prone positioning, FiO2 1.0, PEEP 18 cmH2O, and neuromuscular blockade, his PaO2 remai...

Question

A 50-year-old man with severe ARDS is being ventilated. Despite prone positioning, FiO2 1.0, PEEP 18 cmH2O, and neuromuscular blockade, his PaO2 remains 6.5 kPa and PaO2/FiO2 ratio is 49 mmHg. Plateau pressure is 28 cmH2O. He is haemodynamically supported on noradrenaline 0.3 mcg/kg/min. His team is considering venovenous ECMO. According to the ELSO/NHS England criteria, which of the following is an absolute contraindication to venovenous ECMO?

Accepted Answer

Irreversible, severe neurological injury incompatible with meaningful recovery

Answer

Age over 65 years

Answer

Mechanical ventilation for more than 7 days at high settings

Answer

BMI greater than 40

Answer

Noradrenaline requirement of 0.3 mcg/kg/min

uk-fficm MCQ (SBA): ARDS and VV-ECMO