Continuous double volume exchange transfusion is a safe treatment for ECMO-induced hemolysis

Extracorporeal membrane oxygenation (ECMO)-related hemolysis is a recognized complication and remains a source of significant morbidity and mortality in the neonatal population. This is the first description of continuous double-volume exchange transfusion (ET) performed for profound hemolysis that...

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Bibliographic Details
Main Authors: Aqsa Shakoor, Svetlana Streltsova, Michael P. Brewer, Shunpei Okochi, Cindy E. Neunert, Eva W. Cheung, Steven Stylianos, Vincent Duron, William Middlesworth, Angela Kadenhe-Chiweshe
Format: Article
Language:English
Published: Elsevier 2018-05-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576617303330
Description
Summary:Extracorporeal membrane oxygenation (ECMO)-related hemolysis is a recognized complication and remains a source of significant morbidity and mortality in the neonatal population. This is the first description of continuous double-volume exchange transfusion (ET) performed for profound hemolysis that developed in a neonate with congenital heart disease on VA ECMO for sepsis. The aim of this report is to demonstrate the safety and efficacy of performing ET on a physiologically frail patient on ECMO support. Keywords: Veno-arterial extracorporeal membrane oxygenation, Hemolysis, Exchange transfusion
ISSN:2213-5766