Affiliation:
1. N.V. Sklifosovsky Research Institute for Emergency Medicine
Abstract
COVID-19 is a disease that, in addition to respiratory failure, leads to thrombosis and bleeding due to coagulation disorders. Extracorporeal membrane oxygenation (ECMO), required in cases of a deterioration of gas exchange function of the lungs, contributes to changes in blood coagulation indicators, which leads to an increased risk of hemorrhagic complications and thrombosis. In the article, a clinical case of a severe course of COVID-19 is reported, which required ECMO. During the treatment, antithrombin-III was used, which allowed avoiding life-threatening complications and successfully completing the procedure.
Publisher
The Scientific and Practical Society of Emergency Medicine Physicians
Reference27 articles.
1. Zhuravel SV, Evseev AK, Kolokoltsev AD, Kuznetsova NK, Utkina II, Petrikov SS. Historical Development and Prospects of Extracorporeal Membrane Oxygenation in Clinical Practice. Vysokotekhnologichnaya meditsina. 2020;7(1):51–58. (in Russ.)
2. Brygin PA, Zhuravel SV, Troitskiy DA, Utkina II. Predictors of extracorporeal membrane oxygenation efficacy in patients with acute respiratory failure. Transplantologiya. The Russian Journal of Transplantation. 2020;12(3):220–230. (in Russ.). https://doi.org/10.23873/2074-0506-2020-12-3-220-230
3. Bartlett RH, Ogino MT, Brodie D, McMullan DM, Lorusso R, MacLaren G, et al. Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure. ASAIO J. 2020;66(5):472–474. PMID: 32243267 https://doi.org/10.1097/MAT.0000000000001173
4. Badulak J, Antonini MV, Stead CM, Shekerdemian L, Raman L, Paden ML, ECMO for COVID-19: Updated 2021 Guidelines from the Extracorporeal Life Support Organization (ELSO). ASAIO J. 2021 Feb 26. PMID: 33657573 https://doi.org/10.1097/MAT.0000000000001422. Online ahead of print.
5. Klok FA, Kruip MJHA, van der Meer NJM, Arbous MS, Gommers DAMPJ, Kant KM, et al. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020;191:145–147. PMID: 32291094 https://doi.org/10.1016/j.thromres.2020.04.013
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献