Baylor Scott & White Health can provide patients with an extracorporeal membrane oxygenation (ECMO) program at our high-volume cardiac centers.

The Rapid ECMO Deployment Team has transported patients with and without a VAD, intra-aortic balloon pump, Impella, nitric oxide, and mechanical ventilation. The Rapid ECMO Deployment Team is available 24/7.

In Central Texas, call 254.724.5827 In North Texas, call 214.820.6444

Indications and criteria

The program provides veno-arterial (VA) and veno-venous (VV) ECMO for patients that are in cardiogenic shock, advanced respiratory failure, or septic shock.

VA ECMO indications:

Post-acute myocardial infarction
Post-cardiotomy shock
Pulmonary embolus
Advanced heart failure as bridge to heart transplant
Advanced cardiac mechanical support until bridge to left ventricular assist device (LVAD)

VV ECMO indications

Adult respiratory distress syndrome (ARDS)
Pneumonia, viral or bacterial
Trauma to heart and lungs
Advanced lung disease as bridge to lung transplant

Inclusion criteria*

Age 18 – 75
Bridge to durable LVAD, heart, or lung transplant
Witnessed cardiac/respiratory arrest with adequate CPR in progress <=30 minutes
Cardiogenic shock – patient on 2 or more vasoactive drips, urine output<= 30 ml/hr. SVO2 60%. Lactate >=2mmol/L
Respiratory failure – Respiratory Rate ≥ 30. Inspiratory Pressure ≥ 30, FIO2 ≥ 80%. PEEP .+ cmH2O

Exclusion criteria*

DNR or cancer with predicted survival, 1 year
Age ≥ 75 years
Evidence of severe neurological injury
Unwitnessed cardiac arrest or CPR for >60 minutes
Lactate > 16 mmol/L
AST or ALT> 2,000 or INR > 4.5
Advanced microcirculatory failure with severe mottling or established purpura

*To be used as general guidelines, provider may use discretion for witnessed PEA arrest

Locations

Baylor University Medical Center - Dallas
3500 Gaston Avenue
Roberts Hospital Fourth Floor ICU
Dallas, TX 75246

Baylor Scott & White The Heart Hospital - Plano
1100 Allied Drive Fifth or Sixth Floor ICU
Plano, TX 75093

Baylor Scott & White All Saints Medical Center - Fort Worth
1400 8th Avenue Building A, Second Floor CVICU
Fort Worth, TX 76104

Baylor Scott & White Medical Center - Temple
2401 S. 31st Street
Temple, TX 76508

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