Penn State Health COVID-19 ECMO inclusion criteria based on capacity

CapacityInclusion criteria
Overall inclusion
  • Age: 18–65

  • paO2/FiO2 < 100 (pH < 7.25 for > 6 hours; paCO2 > 60 mmHg or paO2 < 50 mmHg)

  • pH < 7.2 with plateau pressures > 30 cmH2O

  • Ventilator: < 10 days ventilator support

  • Failed proning

< 50% capacity
  • Age: 18–65

  • paO2/FiO2 < 100 (pH < 7.25 for > 6 hours; paCO2 > 60 mmHg or paO2 < 50 mmHg)

  • pH < 7.2 with plateau pressures > 30 cmH2O

  • Ventilator: < 10 days ventilator support

  • Failed proning

50–80% capacity
  • Age: < 60

  • Ventilator: < 7 days ventilator support

  • Peak pressures on ventilator < 40 cmH2O

  • Failed proning

> 80% capacity
  • Age < 50

  • Ventilator support < 5 days

  • Failed proning

1 mmHg = 0.133322 kPa, 1 cmH2O = 0.0980665 kPa. paO2: arterial partial pressure of oxygen; paCO2: arterial partial pressure of carbon dioxide