Title: Situations Where ECMO May Be Unsuccessful<br/>Author: Mike Winters<br/><a href='http://umem.org/profiles/faculty/141/'>[Click to email author]</a><hr/><p>
        <u><strong>Situations Where ECMO Will Likely Fail</strong></u></p>
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                As many EDs and ICUs begin to develop protocols for the use of ECMO, it is important to note select conditions when this therapy is unlikely to be succesful.
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                        <li>
                                Chronic respiratory or cardiac disease with no hope of recovery</li>
                        <li>
                                OHCA with prolonged no blood flow</li>
                        <li>
                                Severe aortic regurgitation</li>
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                                Type A aortic dissection</li>
                        <li>
                                Refractoroy septic shock with preserved LV function</li>
                        <li>
                                Stem cell transplant patients</li>
                        <li>
                                Advanced age with ARDS</li>
                        <li>
                                Prolonged pre-ECMO mechanical ventilation (> 7 days)</li>
                        <li>
                                Center inexperienced with ECMO</li>
                </ul>
        </li>
</ul>
<fieldset><legend>References</legend>

                <p>
        Schmidt M, et al. Ten situations in which ECMO is unlikely to be successful. <em>Intensive Care Med</em> 2016; 42:750-752.</p>
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