Management preferences in ECMO mode for congenital diaphragmatic hernia

Survey of 230 APSA and ELSO members reveals consensus on ECMO initiation criteria for CDH (hypoxemia, air leak, acidosis) but substantial practice variation in mode selection. While 60% prefer VV-ECMO for average-risk neonates, preference shifts toward VA-ECMO with increasing cardiac support needs, with surgeons and non-surgeons differing significantly in rationale.