ECMO: The ultimate end point of Paediatric Intensive Care. We discussed all things ECMO with Chris Harvey, who leads the UK’s only mobile ECMO service. He will cannulate a patient in the referring hospital, and transport back to his ECMO centre in Leicester.
What are the survival rates from ECMO? What are the survival rates of patients not accepted, either because they are too sick, or too well? What about E-CPR: which patients are eligible, and how common are they?
What are the thresholds for ECMO referral? How has the type of patients referred changed over time? What are the limits of ECMO acceptance? What is the survival from oncological ECMO?
Ethics is coming to ECMO: when can we say no, and to which patients? When is ECMO indicated in sepsis?
How can we compare ECMO statistics between units and countries? Can we do a randomised trial in ECMO? What are the main complications, and how are they mitigated?
What are the unanswered questions in ECMO? Is OI, or PIM scoring used in ECMO prioritisation? How do you stop ECMO? What is the longest ECMO run seen worldwide, and in the UK?
What about ECCO2R? Is it ECMO-lite, or does it not really solve the problems which these patients have?
Finally, from a standing start, how long would it take Chris to crash someone on to ECMO?
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