🫁 RESP Score (VV-ECMO Survival)
UseWhen to use: adults being considered for VV ECMO for acute respiratory failure.
StrataClasses I–V map to published survival ~92%→18%.
LimitsWhen not to use: VA ECMO candidacy alone. · Pitfall: wrong diagnosis group points. · Not a sole ECMO veto.
SourceRESP score (Schmidt / ELSO)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
ELSO RESP.
When to use
When to use: adults being considered for VV ECMO for acute respiratory failure.
How it works
Age, immunocompromise, ventilation duration, diagnosis group, CNS, infection, NMB, iNO, HCO₃ drip, arrest, PaCO₂, PIP.
Key points
- ELSO RESP.
- Five classes.
- Next: center selection discussion.
References
- RESP score (Schmidt / ELSO)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age | 50–59 (−2) |
|---|---|
| Immunocompromised | No (0) |
| Mechanical ventilation before ECMO | 48 h–7 d (+1) |
| Acute respiratory diagnosis | Trauma/burn (+3) |
| CNS dysfunction history | No (0) |
| Acute non-pulmonary infection | No (0) |
| Neuromuscular blockade before ECMO | No (0) |
| Inhaled nitric oxide before ECMO | No (0) |
| Bicarbonate infusion before ECMO | No (0) |
| Cardiac arrest before ECMO | No (0) |
| PaCO₂ ≥75 mmHg | No (0) |
| Peak inspiratory pressure ≥42 cmH₂O | No (0) |
→RESP2pts
- Risk class：Class III — ~57%
| Age | 18–49 (0) |
|---|---|
| Immunocompromised | No (0) |
| Mechanical ventilation before ECMO | <48 h (+3) |
| Acute respiratory diagnosis | Viral pneumonia (+3) |
| CNS dysfunction history | No (0) |
| Acute non-pulmonary infection | No (0) |
| Neuromuscular blockade before ECMO | No (0) |
| Inhaled nitric oxide before ECMO | No (0) |
| Bicarbonate infusion before ECMO | No (0) |
| Cardiac arrest before ECMO | No (0) |
| PaCO₂ ≥75 mmHg | No (0) |
| Peak inspiratory pressure ≥42 cmH₂O | No (0) |
→RESP6pts
- Risk class：Class I — ~92% survival
Verification & sources · governance
FAQ
Frequently asked questions
- Does RESP Score (VV-ECMO Survival) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is RESP Score (VV-ECMO Survival) calculated in practice? Can you show a worked example?
- Inputs: Age 50–59 (−2), Immunocompromised No (0), Mechanical ventilation before ECMO 48 h–7 d (+1), Acute respiratory diagnosis Trauma/burn (+3), CNS dysfunction history No (0), Acute non-pulmonary infection No (0), Neuromuscular blockade before ECMO No (0), Inhaled nitric oxide before ECMO No (0)… → Result: RESP 2 pts（Risk class: Class III — ~57%） Inputs: Age 18–49 (0), Immunocompromised No (0), Mechanical ventilation before ECMO <48 h (+3), Acute respiratory diagnosis Viral pneumonia (+3), CNS dysfunction history No (0), Acute non-pulmonary infection No (0), Neuromuscular blockade before ECMO No (0), Inhaled nitric oxide before ECMO No (0)… → Result: RESP 6 pts（Risk class: Class I — ~92% survival）