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"Lactate has been recognised as a prognostic factor in several critical conditions. Veno-Venous Extracorporeal Membrane Oxygenation (VV-ECMO) is a well-established therapy in patients with Acute Respiratory Disease Syndrome (ARDS) unresponsive to conventional therapy and echocardiography pre ECMO initiation has been recently reported to help in risk stratifying these patients."1
1. Lactate and Echocardiography Before Veno-Venous Extracorporeal Membrane Oxygenation Support.
Lazzeri C, Bonizzoli M, Cianchi G, Batacchi S, Terenzi P et al.
Heart Lung Circ. 2018 Jan;27(1):99-103