| Autor: |
Sankalp P. Patel, Brian J. Solomon, Robert D. Pascotto, Stephen E. D'Orazio, Elsy V. Navas, Robert J. Cubeddu, Gaston A. Cudemus |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of Cardiothoracic and Vascular Anesthesia. 36:3193-3196 |
| ISSN: |
1053-0770 |
| DOI: |
10.1053/j.jvca.2022.04.006 |
| Popis: |
Venovenous extracorporeal membrane oxygenation (VV-ECMO) has become a mainstay treatment modality for a select patient population who do not respond to conventional medical therapy suffering from severe acute respiratory distress syndrome (ARDS) due to COVID-19. This therapy necessitates the utilization of anticoagulation, whether unfractionated heparin or bivalirudin, to prevent thrombotic complications. Scarce are reports of VV-ECMO implementation leading to acute hemorrhage mandating cessation of anticoagulation in a patient suffering from COVID-19 ARDS. Herein, the authors report a case of a successful outcome in a COVID-19 ARDS patient who suffered an acute hemorrhagic complication leading to pre-emptive termination of systemic anticoagulation. The authors believe this to be one of the first such cases in the literature. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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Full Text from ScienceDirect