Thoracotomy in adults while on ECMO is associated with uncontrollable bleeding

被引：18

作者：

Marasco, Silvana F.

Preovolos, Arthur

Lim, Kiat

Salamonsen, Robert F.

机构：

[1] Alfred Hosp, CJOB Cardiothorac Surg Unit, Prahran, Vic 3181, Australia

[2] Monash Univ, Alfred Hosp, Dept Surg, Prahran, Vic 3181, Australia

[3] Alfred Hosp, Intens Care Unit, Prahran, Vic 3181, Australia

来源：

PERFUSION-UK | 2007年 / 22卷 / 01期

关键词：

D O I：

10.1177/0267659106074789

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report details the outcomes of four patients supported by extracorporeal membrane oxygenation (ECMO) who required thoracotomy. All four patients sustained massive bleeding as a result of the operative intervention, which was not controllable in three of the patients who subsequently died. This experience has led us to review the literature of anticoagulation management of patients on ECMO so we can alter our own protocols and allow safer operative intervention in the future.

引用

收藏

页码：23 / 26

页数：4

相关论文

共 19 条

[1]

BOROWIEC J, 1992, J THORAC CARDIOV SUR, V104, P642

[2] EFFECTS OF APROTININ ON HEMORRHAGIC COMPLICATIONS IN ARDS PATIENTS DURING PROLONGED EXTRACORPOREAL CO-2 REMOVAL [J].

BRUNET, F ;

MIRA, JP ;

BELGHITH, M ;

LANORE, JJ ;

SCHLUMBERGER, S ;

TOULON, P ;

DHAINAUT, JF .

INTENSIVE CARE MEDICINE, 1992, 18 (06) :364-367

[3] Extracorporeal Life Support Registry Report 2004 [J].

Conrad, SA ;

Rycus, PT ;

Dalton, H .

ASAIO JOURNAL, 2005, 51 (01) :4-10

[4] Impact of AMICAR on hemorrhagic complications of ECMO: a ten-year review [J].

Downard, CD ;

Betit, P ;

Chang, RW ;

Garza, JJ ;

Arnold, JH ;

Wilson, JM .

JOURNAL OF PEDIATRIC SURGERY, 2003, 38 (08) :1212-1216

[5] REDUCTION OF HEMORRHAGIC COMPLICATIONS DURING MECHANICALLY ASSISTED CIRCULATION WITH THE USE OF A MULTISYSTEM ANTICOAGULATION PROTOCOL [J].

GLAUBER, M ;

SZEFNER, J ;

SENNI, M ;

GAMBA, A ;

MAMPRIN, F ;

FIOCCHI, R ;

SOMASCHINI, M ;

FERRAZZI, P .

INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 1995, 18 (10) :649-655

[6] A multicenter trial of 6-aminocaproic acid (Amicar) in the prevention of bleeding in infants on ECMO [J].

Horwitz, JR ;

Cofer, BR ;

Warner, BW ;

Cheu, HW ;

Lally, KP .

JOURNAL OF PEDIATRIC SURGERY, 1998, 33 (11) :1610-1613

[7]

KLEIN MD, 1990, J THORAC CARDIOV SUR, V100, P498

[8] PROGRESS IN VENOVENOUS LONG-TERM BYPASS TECHNIQUES FOR THE TREATMENT OF ARDS - CONTROLLED CLINICAL-TRIAL WITH THE HEPARIN-COATED BYPASS CIRCUIT [J].

KNOCH, M ;

KOLLEN, B ;

DIETRICH, G ;

MULLER, E ;

MOTTAGHY, K ;

LENNARTZ, H .

INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 1992, 15 (02) :103-108

[9]

Landis RC, 2001, HEART SURG FORUM, V4, pS35

[10] COMPLICATIONS OF EXTRACORPOREAL LIFE-SUPPORT-SYSTEMS USING HEPARIN-BOUND SURFACES - THE RISK OF INTRACARDIAC CLOT FORMATION [J].

MUEHRCKE, DD ;

MCCARTHY, PM ;

STEWART, RW ;

SESHAGIRI, S ;

OGELLA, DA ;

FOSTER, RC ;

COSGROVE, DM .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1995, 110 (03) :843-851