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Table 1 ECCO2R treatment criteria for patients with ARDS

From: ECCO2R therapy in the ICU: consensus of a European round table meeting

Parameter

Target

Score

 

Initiation criteria

 Driving pressure

≥ 14 cmH2O

31

Consensus

Pplat

≥ 25 cmH2O

22

Consensus

 PaCO2

> 60–80 mmHg

21

Majority agreement

 pH

< 7.25

20

Majority agreement

 Reduce VT to < 6 mL/PBW

18

Majority agreement

 Respiratory rate

≥ 25 to > 30

14

Majority agreement

 PaO2/FiO2

100–200

10

Majority agreement

 PEEP

8

No agreement

Treatment targets

 Driving pressure

< 14 cmH2O

66*

Consensus

Pplat

< 25 cmH2O

57*

Majority agreement

 Respiratory rate

< 25 or < 20 breaths/min

44*

Consensus

 pH

> 7.30

39*

Majority agreement

VT

≤6 mL/PBW

39*

Majority agreement

 PaCO2

< 50–55 mmHg

30

Majority agreement

  1. Criteria for ECCO2R treatment considered to be of importance and selected from the provided list. Target describes any potential target values identified, with ‘–’ indicating that no target parameter was provided or considered relevant. Score indicates the combined total score, with higher scores indicating a higher perceived importance. Consensus means a consensus threshold (≥ 80%) was reached, majority agreement means ≥ 50% agreed but consensus level was not reached, and no agreement means < 50% agreed
  2. *Based on the post-meeting survey. Note, for Pplat, a consensus threshold of 80% was not reached in the meeting; in the post-meeting survey, it was rated as the second most important target