In the unlikely event that we do not have sufficient capacity, we will find an ECMO bed for a patient at one of the other four ECMO centres.
Typical patients suitable for ECMO treatment will include those with reversible disease associated with severe hypoxaemia (e.g. PaO2/FiO2 < 13.3kPa), severe hypercapnic acidosis (e.g. pH<7.20) despite conventional support.
We are keen to discuss patients in whom adequate arterial blood gases cannot be achieved using lung protective tidal volumes and pressures.
The potential benefits of ECMO
as a lung protective strategy diminish after about one week of conventional ventilation at high pressure and high inspired oxygen.
The ECMO team
The ECMO team at Royal Brompton Hospital consists of six respiratory consultants:
These ECMO specialists work closely with Anoma Gunawardena (lead nurse for ECMO) and Tim Jackson (chief perfusionist).
How to refer your patient for ECMO
Read about referral criteria for ECMO services
. Read our news story about being commissioned as one of five ECMO centres for adults in England.