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Review
. 2020 May 15;4(4):455-468.
doi: 10.1002/rth2.12346. eCollection 2020 May.

Hematologic concerns in extracorporeal membrane oxygenation

Jonathan Sniderman  1 , Paul Monagle  2 , Gail M Annich  3 , Graeme MacLaren  1   4   5
Affiliations
Review

Hematologic concerns in extracorporeal membrane oxygenation

Jonathan Sniderman et al. Res Pract Thromb Haemost. .

Abstract

This ISTH "State of the Art" review aims to critically evaluate the hematologic considerations and complications in extracorporeal membrane oxygenation (ECMO). ECMO is experiencing a rapid increase in clinical use, but many questions remain unanswered. The existing literature does not address or explicitly state many pertinent details that may influence hematologic complications and, ultimately, patient outcomes. This review aims to broadly introduce modern ECMO practices, circuit designs, circuit materials, hematologic complications, transfusion-related considerations, age- and size-related differences, and considerations for choosing outcome measures. Relevant studies from the 2019 ISTH Congress in Melbourne, which further advanced our understanding of these processes, will also be highlighted.

Keywords: adult; extracorporeal membrane oxygenation; hemolysis; hemorrhage; pediatric; thrombosis.

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Figures

Figure 1
Figure 1
Normal factor levels from infancy to adulthood. Adapted from Toulon 98
Figure 2
Figure 2
Normal coagulation and fibrinolysis protein levels from infancy to adulthood. Adapted from Toulon 98
See this image and copyright information in PMC

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