ECMO in major burn patients: feasibility and considerations when multiple modes of mechanical ventilation fail

Burns & Trauma

Table 1 Summary of patient characteristics and severity of ARDS prior to initiation of ECMO

	Patient 1	Patient 2
Gender	Male	Male
Age	39	53
TBSA (%)	40	25
Modified Baux Scores	79	78
Inhalation injury	Negative	Negative
Onset of acute respiratory failure	HOD 3	HOD 17
Co-morbidities	Smoker, obesity	Smoker, hypertension,
Severity of respiratory failure
Lowest PaO ₂ :FiO ₂ ratio	49	38
Maximum attempted PEEP	14	18
Hypercarbia	77	109
Modes of ventilation attempted	SIMV + PC	SIMV + PC
	PRVC	PRVC
	VC	VC
	PC	PC
	APRV	APRV
	VDR
Neuromuscular blockade	Yes	Yes
Adjunct therapies attempted	Inhaled epoprostenol	Inhaled epoprostenol
Prone positioning	Yes	Yes

APRV airway pressure release ventilation, ARDS acute respiratory distress syndrome, ECMO extracorporeal membrane oxygenation, PC pressure control, PEEP positive end-expiratory pressure, PRVC pressure regulated volume control, SIMV synchronized intermittent mandatory ventilation, TBSA total body surface areaVC volume control, VDR volume diffusive respirator

ISSN: 2321-3876