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Extracorporeal membrane oxygenation support in a situation of diagnostic dilemma.

Authors:
Maqsood M Elahi Chew Houng Toby Trahair Hari Ravindranathan Peter W Grant

Heart Lung Circ 2012 Dec 18;21(12):821-3. Epub 2012 May 18.

Department of Cardiothoracic Surgery, Sydney Children's Hospital, High Street, Randwick, NSW, Australia.

Severe acute respiratory distress syndrome (ARDS) in children carries a high morbidity and mortality. High frequency ventilation and extracorporeal membrane oxygenation (ECMO) are used as rescue modes of support in difficult situations. Malignancy may be considered to be a relative contraindication to ECMO support. We report a case where the decision was made to support the patient with ECMO for fulminant Epstein-Barr (EBV) infection while investigations were being done to exclude an underlying malignancy.

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http://dx.doi.org/10.1016/j.hlc.2012.04.014DOI Listing
December 2012

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Ann Thorac Surg 2021 Mar 1. Epub 2021 Mar 1.

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Coagulations Studies Do Not Correlate With Each Other or With Hematologic Complications During Pediatric Extracorporeal Membrane Oxygenation.

Authors:
Shyam J Deshpande Sally Vitali Ravi Thiagarajan Steven Brediger Michael McManus Alon Geva

Pediatr Crit Care Med 2021 Mar 5. Epub 2021 Mar 5.

Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA. Division of Critical Care Medicine, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, MA. Department of Anaesthesia, Harvard Medical School, Boston, MA. Department of Cardiology, Boston Children's Hospital, Boston, MA. Department of Pediatrics, Harvard Medical School, Boston, MA. Computational Health Informatics Program, Boston Children's Hospital, Boston, MA.

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Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.

Background: Extracorporeal membrane oxygenation (ECMO) is a rescue procedure used for cardiac and pulmonary dysfunction. Patients on ECMO often require blood transfusions to maintain oxygen delivery and recover from bleeding complications. Goals of the current study were to determine transfusion requirements while on ECMO, and incidence and transfusion requirements for bleeding complications. Read More

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Department of Child Health, University of Arizona College of Medicine, Phoenix, AZ.

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