What are the typical ventilator settings in pediatric patients on ECMO?

Updated: Dec 21, 2017
  • Author: Edwin Rodriguez-Cruz, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

Answer

ECMO is used temporarily while awaiting pulmonary recovery. In the classic use of neonatal ECMO, the typical ventilator settings are FiO2 of 21-30%, peak inspiratory pressure (PIP) of 15-25 cm H2 O, a positive end-expiratory pressure (PEEP) of 3-5 cm H2 O, and intermittent mechanical ventilation (IMV) of 10-20 breaths per minute. In some centers, a high PEEP of 12-14 cm water has been used to avoid atelectasis; this has been found to shorten the bypass time in infants. Pulmonary hygiene is strict and requires frequent positional changes, endotracheal suctioning every 4 hours depending on secretions, and a daily chest radiograph.


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