ecmo and sepsis

? Bypasses the heart and lungsРTYPES OF ECMOР2. Veno-Venous (V-V)Р Drainage is through a vein? Blood return through a vein? Oxygenated blood to right side of heart? Bypasses lungs only, native cardiac output carries oxygenated blood to systemic circulationРNeonatal Cardiopulmonary failure:? Meconium Aspiration? Primary Pulmonary Hypertension? Respiratory Distress Syndrome? Pneumonia? Massive Air Leak? Congenital Diaphragmatic Hernia? SepsisРINDICATIONSРSurvival > 90%РSurvival 60 %РOI?25 40РOI  40  80% mortality riskР OI = 25-40  50 % mortality riskРECMO CRITERIAРOxygenation Index (OI)= (MAP x FiO2 x 100) / PaO2РECMO CRITERIAРAaDO2 > 610 x 8 hr  79% MortalityРAaDO2 = FiO2 x (760 - 47) - (PaCO2/0.8) - PaO2Р PaO2 < 50 mmHg x 4 hr? Acute deterioration?PaO2 < 40 mmHg x 2 hr?pH < 7.15 x 2 hr