Extracorporeal membrane oxygenation in Jehovah's Witness patients: Case report, literature review, and summary of recommendations

被引：0

作者：

Mera, Abrahan ^{[1
,2
]}

Argudo, Eduard ^{[1
,2
,3
]}

Martinez-Martinez, Maria ^{[1
,2
,3
]}

Palmada, Clara ^{[1
,2
]}

Bonilla, Camilo ^{[1
,2
]}

Pacheco, Andres ^{[1
,2
]}

Chiscano, Luis ^{[1
,2
]}

Marin, Gemma ^{[1
]}

Lozano, Beatriz ^{[1
]}

Gallart, Elisabet ^{[1
]}

Riera, Jordi ^{[1
,2
,4
]}

机构：

[1] Vall dHebron Univ Hosp, Intens Care Med Dept, Paseo Vall dHebron 119-129, Barcelona 08035, Spain

[2] Vall dHebron Res Inst, Shock Organ Dysfunct & Resuscitat Res Grp, Barcelona, Spain

[3] Univ Autonoma Barcelona, Dept Med, Barcelona, Spain

[4] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Resp, Madrid, Spain

来源：

PERFUSION-UK | 2024年 / 39卷 / 01期

关键词：

ECMO; extracorporeal life support; extracorporeal membrane oxygenation; Jehovah's Witness; transfusion; ANTICOAGULATION PRACTICES; ECMO;

D O I：

10.1177/02676591211047774

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Extracorporeal Membrane Oxygenation (ECMO) is commonly associated with a high blood transfusion requirement. Jehovah's Witness patients present a particular challenge. The impossibility of transfusing blood cells and starting anticoagulation treatment are common contraindications for this supportive measure. Here we report the case of a Jehovah's Witness patient with refractory hypoxemia due to influenza A H1N1 pneumonia who required venovenous ECMO for 11 days. We describe the use of a bloodless approach to reduce the waste of blood, avoiding anticoagulation, and improving red blood cell production. We then summarize the current literature on the use of ECMO in Jehovah's Witness patients and, finally, we propose some recommendations for their management.

引用

收藏

页码：60 / 65

页数：6

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