ARDS Inquiry Form

Your Information

Patient Information

Respiratory Information

ABG/Labs

Contraindications/Diagnostic

Neurology

Hemodynamic

Infection/Antibiotic Therapy

Vascular Access

PRESERVE-Score*

* Schmidt M, Zogheib E, Rozé H et al: The PRESERVE mortality risk score and analysis of long-term outcomes after extracorporeal membrane oxygenation for severe acute respiratoy distress Syndrome. Intensive Care Med (2013) 39: 1704-1713

Consent

Please contact us by phone parallel to the written request.