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- Hergen Buscher and David G Herbert.
- Intensive Care Unit, St Vincent's Hospital, Sydney, NSW, Australia. daveyherby@gmail.com.
- Crit Care Resusc. 2014 Mar 1;16(1):69-72.
AbstractWe present a 16-year-old male with severe acute respiratory and renal failure as a result of Goodpasture syndrome, requiring venovenous extracorporeal membrane oxygenation (VV-ECMO) for pulmonary haemorrhage. The patient received no systemic anticoagulation for 25 of 26 ECMO days (20 days consecutively) and suffered no coagulation-related adverse events. The patient had a subtherapeutic anticoagulation profile according to recommended ECMO guidelines during most of this time. The patient made a full recovery without respiratory compromise, ECMO circuit failure, thrombotic events or the need for ongoing haemodialysis.
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