Which of the following are absolute contraindications for the use of ECMO? 1. Lethal congenital anomalies 2. Grade III or higher intracranial hemorrhage 3. Mechanical ventilation with 100% O2 for greater than 13 days 4. Gestational age less than 34 weeks

a. 1 and 2 only
b. 1, 2, and 3 only
c. 2 and 4 only
d. 1, 2, 3, and 4

ANS: A
Absolute contraindications include lethal congenital anomalies, severe irreversible brain damage, and Grade III or higher intracranial hemorrhage (ICH). Relative contraindications include birth weight less than 1.6 kg, gestational age less than 34 weeks, irreversible organ damage (unless a transplant candidate), mechanical ventilation with 100% O2 for greater than 13 days, and some coagulopathies.

Health Professions

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