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 |