the successful use of extracorporeal membrane oxygenation in systemic lupus erythematosus-induced diffuse alveolar haemorrhage

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ID: 158864
2017
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Abstract
Diffuse alveolar haemorrhage (DAH) is a catastrophic pulmonary complication of systemic lupus erythematosus. It can result in refractory hypoxaemia despite mechanical ventilation. Increasing lung compliance and worsening pulmonary hypertension can potentiate cardiogenic shock from acute right ventricular failure. In such patients with cardiopulmonary collapse, veno-arterial (V-A) ECMO maybe a viable option that can provide the required haemodynamic support. However, the use of V-A ECMO in such patients is limited due to an associated increased risk of bleeding. Our case report describes the successful use of V-A ECMO without the use of systemic anticoagulation in a patient with DAH. Despite the absence of systemic anticoagulation, no thrombotic complications within the circuit were noted.
Reference Key
pais2017europeanthe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Faye Pais;Mohamed Fayed;Timothy Evans
Journal indian journal of dental research
Year 2017
DOI
10.12890/2016_000515
URL
http://ejcrim.com/index.php/EJCRIM/article/view/515
Keywords Keywords not found

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