ECMO CHECK LIST

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ECMO CHECK LIST

• ? Detailed referral letter from referring team
  including information about
• past medical history ?
• duration of intubation ?
• duration of inotropic support ?
• ventilator setting ?
• most recent arterial blood gas and lactate ?
• renal function ?
• duration of CVVH and reason ?
• recent operations ?
• blood culture results ?
• abnormal haematology and biochemistry ?
• other investigations with results ?
• blood group ?
• allergy and smoking history ?
• ? 2 units of blood
• ? Chest x-ray done on day of transfer
• ? Next of kin present at arrival of retrieval
  team to give consent
• ? CD of CT scans and other imaging

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Referral criteria for ECMO - Cardiac

• Absolute contraindications
• Intolerant of heparin
• Recent significant intracranial bleed
• No patient consent
• Irreversible aetiology e.g. end stage pulmonary
  fibrosis
• Relative contraindications
• limited life expectancy
• Age
• Objection to blood products

cardiac failure responding to conventional
management
YES
NO
Not for ECMO
Reversible aetiology or suitable for transplant
NO
YES
Duration of ventilation lt 7 days
Short duration of high pressure and high FiO2
ventialtion
NO
YES
NO
YES
Any contraindications to ECMO
Discuss with ECMO co-ordinator but low
probability of acceptance
NO
Urgent referral to ECMO co-ordinator advised