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J. Cardiothorac. Vasc. Anesth. · Jul 2024
Pro: Hemostasis Management of Patients on Extracorporeal Membrane Oxygenation Is Different Than Cardiopulmonary Bypass.
- Abey S Abraham and Brett J Wakefield.
- Department of Cardiothoracic Anesthesiology, Department of Intensive Care and Resuscitation, Cleveland Clinic, Cleveland, OH.
- J. Cardiothorac. Vasc. Anesth. 2024 Jul 6.
AbstractCardiopulmonary bypass and extracorporeal membrane oxygenation have many similarities, but there are significant differences in managing hemostasis. Cardiopulmonary bypass includes shorter mechanical circulatory support times, blood stasis, higher flows, and an increased blood-air interface. These factors cause differences in the risk of coagulopathy, management of anticoagulation, monitoring of the hemostatic system, and management of coagulopathy. This article aims to identify these key differences in the hemostatic system between patients on cardiopulmonary bypass and those on extracorporeal membrane oxygenation.Copyright © 2024. Published by Elsevier Inc.
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