scholarly journals Extracorporeal membrane oxygenation for refractory hypoxemia after liver transplantation in severe hepatopulmonary syndrome: A solution with pitfalls

2014 ◽  
Vol 20 (9) ◽  
pp. 1141-1144 ◽  
Author(s):  
Georg Auzinger ◽  
Christopher Willars ◽  
Robert Loveridge ◽  
Thomas Best ◽  
Andre Vercueil ◽  
...  
Perfusion ◽  
2021 ◽  
pp. 026765912110477
Author(s):  
Abrahán Mera ◽  
Eduard Argudo ◽  
María Martínez-Martínez ◽  
Clara Palmada ◽  
Camilo Bonilla ◽  
...  

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.


2016 ◽  
Vol 30 (2) ◽  
pp. 437-442 ◽  
Author(s):  
Patrick Scheiermann ◽  
Stephan Czerner ◽  
Michael Kaspar ◽  
René Schramm ◽  
Hauke Winter ◽  
...  

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