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Year : 2022  |  Volume : 6  |  Issue : 5  |  Page : 18-20

Extracorporeal membrane oxygenation in diffuse alveolar hemorrhage: A case report and review of anticoagulation strategies

Department of Critical Care, Prince Sultan Medical Military City, Riyadh, Saudi Arabia

Correspondence Address:
Mohammed Barghash Alanazi
Cardiac Critical Care Department, Prince Sultan Medical Military City, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2543-1854.369162

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Anticoagulation in extracorporeal membrane oxygenation (ECMO) can be one of the obstacles in starting and managing patients with refractory hypoxemia, especially with diffuse alveolar hemorrhage (DAH). In this case report, we describe our experience with a 21-year-old male patient who presented with DAH and refractory hypoxemia secondary to systemic lupus erythematosus and was anticoagulated safely during ECMO to maintain circuit integrity, as a bridge to immunosuppressive therapy until he was decannulated successfully. Thromboelastography played a major role in our case management to guide our anticoagulation intensity.

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