10.3389/fmed.2018.00361.s002
Lisa A. Hensch
Lisa A.
Hensch
Shiu-Ki Rocky Hui
Shiu-Ki Rocky
Hui
Jun Teruya
Jun
Teruya
Image_2_Coagulation and Bleeding Management in Pediatric Extracorporeal Membrane Oxygenation: Clinical Scenarios and Review.jpg
Frontiers
2019
anti-Xa assay
acquired von Willebrand syndrome
antifibrinolytic agents
therapeutic plasma exchange
antithrombin
plasma hemoglobin
ECMO—extracorporeal membrane oxygenation
bivalirudin
2019-01-11 12:51:15
Figure
https://frontiersin.figshare.com/articles/figure/Image_2_Coagulation_and_Bleeding_Management_in_Pediatric_Extracorporeal_Membrane_Oxygenation_Clinical_Scenarios_and_Review_jpg/7577819
<p>Extracorporeal membrane oxygenation (ECMO) is a life-saving procedure that requires careful coagulation management. Indications for ECMO continue to expand, leading to more complicated patients treated by ECMO teams. At our pediatric institution, we utilize a Coagulation Team to guide anticoagulation, transfusion and hemostasis management in an effort to avoid the all-to-common complications of bleeding and thrombosis. This team formulates a coagulation plan in conjunction with a multidisciplinary ECMO team after careful review of all available laboratory data as well as the patient's clinical status. Here, we present our general strategies for ECMO management in various clinical scenarios and a review of the literature pertaining to coagulation management in the pediatric ECMO setting.</p>