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Center for Acute Respiratory Failure

Contraindications to ECMO

Relative Contraindications

Relative contraindications to ECMO at the Center for Acute Respiratory Failure at NewYork-Presbyterian Hospital/Columbia University Medical Center include:

  • High-pressure ventilation (plateau airway pressures over 30 cm of water) for more than 7 days
  • High FIO2 requirements (over 80% for more than 7 days)
  • Limited vascular access
  • Inability to accept blood products
  • Any condition or organ dysfunction that would limit the likelihood of overall benefit from ECMO, such as severe, irreversible brain injury or untreatable metastatic cancer
Absolute Contraindications

Absolute contraindications include:

  • Contraindication to anticoagulation
  • ECMO as bridge to lung transplantation if transplantation will not be considered
NEJM graphic
Drs. Bacchetta & Brodie's
article in New England
Journal of Medicine
.
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