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42. Extracorporeal Membrane Oxygenation

Critical Care Time

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Navigating Anticoagulation in ECMO

This chapter explores the complexities of managing anticoagulation in patients on Extracorporeal Membrane Oxygenation (ECMO), highlighting critical differences between venovenous (VV) and venoarterial (VA) settings. The discussion includes risks associated with anticoagulation, monitoring parameters, and the delicate balance between preventing thrombus formation and managing bleeding risks. Additionally, the chapter covers the physiological challenges in achieving adequate oxygenation and cardiac output while maintaining patient stability.

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