Aggressive management of massive hemothorax in patients on extracorporeal membrane oxygenation

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Management considerations of massive hemoptysis while on extracorporeal membrane oxygenation.

BACKGROUND Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is a life-saving procedure in patients with both respiratory and cardiac failure. Bleeding complications are common since patients must be maintained on anticoagulation. Massive hemoptysis is a rare complication of ECMO; however, it may result in death if not managed thoughtfully and expeditiously. METHODS A retrospective...

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Massive haemoptysis on veno-arterial extracorporeal membrane oxygenation.

A 49-year old female presented with severe heart failure with end-organ dysfunction and was placed on veno-arterial extracorporeal membrane oxygenation (ECMO) as a bridge to a decision for end-organ recovery. While on ECMO, the patient developed massive haemoptysis after a Swan-Ganz catheter manipulation. The haemoptysis was not controllable by conventional methods including bronchoscopy with c...

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Kinetics of Procalcitonin in Pediatric Patients on Extracorporeal Membrane Oxygenation

Objectives To assess the kinetics of procalcitonin (PCT) and C-reactive protein (CRP) in pediatric patients who required extracorporeal membrane oxygenation (ECMO) and to analyze its relationship with morbidity and mortality. Patients and methods Prospective observational study including pediatric patients who required ECMO. Both PCT and CRP were sequentially drawn before ECMO (P0) and until ...

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Massive ibuprofen overdose requiring extracorporeal membrane oxygenation for cardiovascular support.

OBJECTIVE Ibuprofen is rarely associated with severe toxicity. We report a massive ibuprofen overdose that resulted in refractory hypotension requiring extracorporeal membrane oxygenation (ECMO) for cardiovascular support. DESIGN Individual case report. SETTING Pediatric intensive care unit of a tertiary care hospital. PATIENT A 14-yr-old male presented with apnea and cardiovascular colla...

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Transportation of Critically Ill Patients on Extracorporeal Membrane Oxygenation

Extracorporeal membrane oxygenation (ECMO) may be a life-saving procedure for patients with severe reversible pulmonary or cardiac failure or for patients in need for a bridge to transplantation. ECMO is provided by specialized centers, but patients in need of ECMO are frequently taken care of at other centers. Conventional transports to an ECMO center can be hazardous and deaths have been desc...

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ژورنال

عنوان ژورنال: Asian Journal of Surgery

سال: 2012

ISSN: 1015-9584

DOI: 10.1016/j.asjsur.2012.04.003