Blood-sparing removal technique of extracorporeal membrane oxygenation circuit in a Jehovah Witness patient: Case report

Medicine
Sang Min ParkChristopher Y Kim

Abstract

Percutaneous cardiopulmonary support (PCPS) using extracorporeal membrane oxygenation (ECMO) is widely used in the critical patients with cardiopulmonary collapse. It is a representative blood-consuming procedure. In limited situations in which the option of blood transfusion is unavailable, there is no general agreement as to whether ECMO is contraindicated. A 61-year-old male Jehovah Witness with acute respiratory collapse and loss of consciousness was rushed to our emergency room. Throughout his hospital course, the patient's family refused any type of blood transfusion even at the risk of death. The clinical situations were secondary to a massive pulmonary thromboembolism INTERVENTIONS:: The patient underwent veno-venous ECMO via both femoral veins. The patient was recovered by intensive medical care although the level of hemoglobin (Hb) and hematocrit (Hct) was gradually decreased from 15.8 g/dl and 46.8% to 11.7 g/dl and 36.5%, respectively. On hospital day 3, ECMO was successfully removed using a blood-sparing ECMO removal technique involving the recycling of blood within the circuit by continuous saline infusion. There was no significant change in level of Hb/Hct and hemodynamic profile. At 2 days after ECMO removal, th...Continue Reading

References

Jul 1, 2005·Journal of General Internal Medicine·Paaladinesh ThavendiranathanNiteesh K Choudhry
Jun 13, 2012·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Jürgen LeickHelge Möllmann
Sep 3, 2013·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Mark J RussoValluvan Jeevanandam

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