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| http://dx.doi.org/10.1097/CM9.0000000000002651 | DOI Listing |
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Heparin-free veno-venous extracorporeal membrane oxygenation in non-trauma patients with difficult airways for surgery.
Chin Med J (Engl)
May 2023
Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Heparin-free after 3000 IU heparin loaded in veno-venous ECMO supported acute respiratory failure patients with hemorrhage risk: a novel anti-coagulation strategy.
Thromb J
June 2022
Department of Surgery ICU, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
Article Synopsis
- A study explored a new heparin-free anticoagulation strategy in patients with hemorrhage risk undergoing veno-venous ECMO for acute respiratory failure, assessing outcomes from 2012 to 2020.
- Out of 70 patients who received an initial low heparin dose, 25 survived while 45 did not, with survival linked to lower baseline SOFA scores and higher platelet counts shortly after ECMO initiation.
- Complications such as thrombosis occurred in 54.3% of cases, but the study found no significant differences in complications between survivors and non-survivors, indicating the need for further investigation into anticoagulation management in these patients.
ECMO (extra corporeal membrane oxygenation) in major trauma: A 10 year single centre experience.
Injury
September 2021
National Trauma Research Institute, Australia; Trauma Services, The Alfred, Australia.
Aim To review the indications, complications and outcomes of extracorporeal membrane oxygenation (ECMO) in major trauma patients. Methods Single centre, retrospective, cohort study. Results Over a ten year period, from 13,420 major trauma patients, 11 were identified from our institutional trauma registry as having received ECMO.
View Article and Find Full Text PDFVeno-Venous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome During Hemorrhagic Shock.
ASAIO J
August 2021
From the Department of General Surgery, Division of Trauma and Acute Care Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Despite overall improvements in critical care, mortality from acute respiratory distress syndrome (ARDS) remains high. Veno-venous extracorporeal membrane oxygenation (V-V ECMO) is used to rescue patients with severe ARDS. Although V-V ECMO can be life-saving, there are significant risks associated with this therapy.
View Article and Find Full Text PDFHeparin-free veno-venous extracorporeal membrane oxygenation in a multiple trauma patient: A case report.
Medicine (Baltimore)
January 2020
Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University, Seoul, South Korea.
Rationale: Extracorporeal membrane oxygenation (ECMO) in multiple trauma patients with post-traumatic respiratory failure can be quite challenging because of the need for systemic anticoagulation, which may lead to excessive bleeding. In the last decade, there is a growing body of evidence that veno-venous ECMO (VV-ECMO) is lifesaving in multiple trauma patients with acute respiratory distress syndrome, thanks to technical improvements in ECMO devices.
Patient Concerns: We report a case of a 17-year-old multiple trauma patient who was drunken and had confused mentality.
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