Anticoagulation in venovenous extracorporeal membrane oxygenation
Carolin Jung, Thomas Stueber, Martin Mirus, Lars Heubner, Peter Spieth
Abstract
Venovenous extracorporeal membrane oxygenation (VV-ECMO) is a lifesaving therapy in severe acute respiratory distress syndrome (ARDS). Unfortunately, bleeding and thrombotic complications occur regularly due to coagulation disorders associated with the device, the underlying disease, and the anticoagulation management. To facilitate a personalized approach to hemostasis in individuals receiving ECMO support, it is essential to assess the coagulative state of the patient while simultaneously taking into account the underlying medical condition and administered therapies.
Topics & Concepts
Extracorporeal membrane oxygenationMedicineARDSAcute respiratory distressIntensive care medicineCoagulative necrosisHemostasisCoagulopathyAnesthesiaSurgeryLungInternal medicineMechanical Circulatory Support DevicesHeart Failure Treatment and ManagementAtrial Fibrillation Management and Outcomes