A 52-year-old woman is ventilated for severe ARDS. Despite TV 6 mL/kg IBW, PEEP 16 cmH2O, FiO2 0.9, neuromuscular blockade, and 18 hours of prone posi...

Question

A 52-year-old woman is ventilated for severe ARDS. Despite TV 6 mL/kg IBW, PEEP 16 cmH2O, FiO2 0.9, neuromuscular blockade, and 18 hours of prone positioning, her PaO2/FiO2 ratio remains 62 mmHg. The ECMO team is contacted. According to the EOLIA trial eligibility criteria, which of the following is an indication for referral for VV-ECMO?

Accepted Answer

PaO2/FiO2  6 hours despite optimised ventilation

Answer

PaO2/FiO2  24 hours

Answer

Any patient requiring FiO2 >0.6

Answer

PaO2/FiO2  15 cmH2O

Answer

Any patient with bilateral infiltrates on chest radiograph

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