Anticoagulation management of extracorporeal membrane oxygenation support in critically ill children with coagulation disorders
10.3760/cma.j.issn.1673-4912.2023.10.002
- VernacularTitle:出凝血障碍患儿的体外生命支持方法
- Author:
Jingyi SHI
1
;
Yucai ZHANG
Author Information
1. 上海市儿童医院/上海交通大学医学院附属儿童医院重症医学科 200062
- Keywords:
Extracorporeal membrane oxygenation;
Coagulation disorders;
Anti-coagulation;
Critical illness;
Children
- From:
Chinese Pediatric Emergency Medicine
2023;30(10):726-730
- CountryChina
- Language:Chinese
-
Abstract:
Sepsis, leukemia/cancer and severe trauma/ surgery always contribute to severe coagulation dysfunction in children.The anticoagulation management during extracorporeal membrane pulmonary oxygenation(ECMO)is quite difficult because of complications such as bleeding or embolism and received more attention.How to dynamically balance anticoagulation with bleeding and thrombosis is crucial in ECMO support.This review summarized advances on prevention and management of coagulation disorder, and the optimizing of monitoring coagulation during ECMO.
