EOLIA

2018 Respiratory
64 ICUs
249 patients

Clinical Question

In patients with severe ARDS, does the early initiation of Extracorporeal
Membrane Oxygenation (ECMO), compared to standard care, improve mortality
at day 60?

Critical Appraisal

Weaknesses

Implausible power calculation

Critique

Cross over to ECMO occurred in 35/125 (28%) of control patients

Population
ARDS
Population Details
MV < 7 days, Disease refractory to standard optimisation
Intervention Arms

VV ECMO

Control Arms

Standard Care
VV ECMO if SpO2 < 80% 6hrs

Primary Outcome
60 day mortality
Secondary Outcomes
Increase bleeding events , Increase thrombocytopenia
P Value
0.09

Outcome Results

Not recorded