Table 4 ECCO2R treatment initiation criteria for patients with ae-COPD
From: ECCO2R therapy in the ICU: consensus of a European round table meeting
Initiation criteria for patients at risk of NIV failure | |
Parameter | |
No decrease in PaCO2 while on NIV | Consensus |
No decrease in respiratory rate while on NIV | Consensus |
Clinical signs of respiratory failure | Majority agreement |
pH 7.25–7.30 | Majority agreement |
Baseline PaCO2 | No agreement |
Baseline respiratory rate | No agreement |
Initiation criteria for patients who are already intubated | |
- Patients who look like they will not be extubated early without ECCO2R | |
○ Previous intubation for ae-COPD | |
○ Has failed a spontaneous breathing trial due to increased dyspnoea | |
○ Reintubation after first extubation attempt despite NIV | |
○ Patients with severe bronchospasm who are difficult/impossible to ventilate adequately or otherwise not responding to medical treatment | |
○ Patients who remain hypercapnic and not improving with MV | |
- No hypoxemia preventing extubation | |
- MV < 72 h | |
- Patients with home NIV and good quality of life | |