ECMO Indications & Patient Selection Flashcards
6 cards from real CES practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ECMO Indications & Patient Selection flashcards as text
Which condition is a primary indication for veno-venous (VV) ECMO?
Answer: Severe refractory respiratory failure
VV ECMO is indicated for severe refractory respiratory failure when conventional ventilatory support is insufficient.
Veno-arterial (VA) ECMO is most appropriate for which patient presentation?
Answer: Refractory cardiogenic shock
VA ECMO provides both cardiac and pulmonary support, making it the choice for refractory cardiogenic shock.
Which Murray Score threshold typically supports consideration of ECMO for ARDS?
Answer: ≥ 3.0
A Murray Score ≥ 3.0 indicates severe lung injury and is a commonly used threshold for ECMO consideration.
What is the RESP score used for in ECMO patient selection?
Answer: Predicting in-hospital survival for VV ECMO in respiratory failure
The RESP (Respiratory ECMO Survival Prediction) score predicts in-hospital survival for adult patients receiving VV ECMO.
Which of the following is generally considered a contraindication to ECMO initiation?
Answer: Unrecoverable end-organ failure without transplant plan
Unrecoverable end-organ failure without a bridge-to-transplant plan is a recognized contraindication because ECMO cannot offer meaningful benefit.
Which ELSO guideline criterion for VA ECMO includes a cardiac index below what threshold?
Answer: < 1.8 L/min/m²
ELSO guidelines suggest VA ECMO consideration when cardiac index falls below 1.8 L/min/m² despite maximal medical support.