Neonatal Referrals

Neonatal ECMO Patient Selection Criteria

• Gestational age > 30weeks
• Birthweight > 1,000 grams
• No significant coagulopathy or uncontrollable bleeding
• No major intracranial hemorrhage
• Mechanical ventilation < 10-14 days
• Reversible lung injury
• No lethal malformations
• No major cardiac malformation

Neonatal ECMO Patient Qualifying Criteria

• AaDO2 = [atmospheric pressure -47 -(PaCO2 + PaO2)] / FiO2 (47 is the partial pressure of water vapor) 600-624 torr for 4 to 12 hours at sea level
• Oxygenation Index (OI) = [MAP x FiO2 x 100] / PaO2 (MAP is mean airway pressure) 25-40 for 1/2 to 6 hours
• PaO2 35-50mmHg for 2-12 hours
• Acute Deterioration PaO2 < 30-40
• pH < 7.25 for 2 hours
• Intractable hypotension

Further discussion of the above criteria can be found in Selection Criteria for Use of ECLS in Neonates

For neonatal ECMO referrals please call 1-734-936-6266, pager # 9766, or contact M-Line or the UM Transfer Center.