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Table 1 Clinical course for the extracorporeal membrane oxygenation

From: Successful use of extracorporeal membrane oxygenation in the reversal of cardiorespiratory failure induced by atonic uterine bleeding: a case report

 

One hour before ECMO

ECMO time (hour)

One hour after ECMO

 

0

12

24

36

48

60

72

Vital signs

Mean blood pressure (mmHg)

63

86

80

104

94

99

80

92

87

Heart rate (/min)

170

110

115

106

107

107

125

109

110

SpO2, R/L (%)

-/85

100/100

100/100

96/97

98/100

97/98

99/100

96/97

100/100

Mechanical ventilation

Mode

A/C (PC)

FIO2

1.0

1.0

0.6

0.4

1.0

PC/positive end-expiratory pressure (cmH2O)

18/14

12/12

12/10

12/8

16/8

ECMO

Sweep gas (L/min)

 

3

2

1.8

1.5

 

FIO2

1.0

0.8

Pump rotational speed (round/min)

2500

2700

2400

1900

Pump flow (l/min)

3.0

3.4

2.8

2.7

2.5

1.3

Serum leakage

-

-

-

-

±

+

+

Uterine bleeding

-

-

-

-

-

-

-

Remarks

   

SvO2; 82%

 

Metallic sound + (pump)

 

Unfractionated heparin (units/h)

0

400

600

1000

0

 

Activated clotting time (s)

 

257

170

179

183

181

162

165

 

Arterial blood gas analysis

pH

7.39

7.5

7.45

7.4

7.44

7.41

7.46

7.48

7.57

PaO2 (mmHg)

53.8

410.3

118.5

66.1

169.5

76

118.6

131.8

487.1

PaCO2 (mmHg)

51.8

33.4

43.9

48.2

40.2

45.4

42.3

39

29.5

Coagulation

Platelets (×103/mm3)

109

 

61

 

39

 

50

 

89

International normalized ratio of prothrombin time

0.98

 

1.09

 

0.94

 

0.91

 

0.93

Activated partial thromboplastin time (s)

31.4

 

53.6

 

68.1

 

50.6

 

34.9

Fibrinogen (mg/dL)

278

 

438

 

619

 

672

 

504

Anti-thrombin III activity (%)

92.9

 

63.1

 

53.2

 

77.4

 

67.3

  1. A/C, assist and control; ECMO, extracorporeal membrane oxygenation; FIO2, fraction of inspired oxygen; L, left finger; PC, pressure control; R, right finger; SvO2, oxygen saturation of venous drainage blood.