Consider ECMO IF the patient has a potentially reversible etiology and has one or more of the following:
  • Inadequate tissue oxygen delivery (rising lactate, worsening metabolic acidosis, signs of end organ dysfunction)
  • Severe hypoxic respiratory failure with acute decompensation (PaO2 < 40 mmHg)
  • Sustained elevated OI with no improvement
  • Severe pulmonary hypertension with evidence of right ventricular dysfunction and/or left ventricular dysfunction