Prolonged venovenous extracorporeal membrane oxygenation without anticoagulation: a case of Goodpasture syndrome-related pulmonary haemorrhage

被引：1

作者：

Herbert, David G. ^{[1
]}

Buscher, Hergen ^{[1
,2
]}

Nair, Priya ^{[1
,2
,3
]}

机构：

[1] St Vincents Hosp, Intens Care Unit, Sydney, NSW 2010, Australia

[2] Univ New S Wales, Sydney, NSW, Australia

[3] Garvan Inst Med Res, Sydney, NSW, Australia

来源：

CRITICAL CARE AND RESUSCITATION | 2014年 / 16卷 / 01期

关键词：

RESPIRATORY-DISTRESS-SYNDROME; MANAGEMENT; ASSIST;

D O I：

暂无

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

We present a 16-year-old male with severe acute respiratory and renal failure as a result of Goodpasture syndrome, requiring venovenous extracorporeal membrane oxygenation (W-ECMO) for pulmonary haemorrhage. The patient received no systemic anticoagulation for 25 of 26 ECMO days (20 days consecutively) and suffered no coagulation-related adverse events. The patient had a subtherapeutic anticoagulation profile according to recommended ECMO guidelines during most of this time. The patient made a full recovery without respiratory compromise, ECMO circuit failure, thrombotic events or the need for ongoing haemodialysis.

引用

页码：69 / 72

页数：4

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