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Open Access 01-12-2019 | Respiratory Acidosis | Case report

Regional anticoagulation with heparin of an extracorporeal CO₂ removal circuit: a case report

Authors: Jacopo Tramarin, Andrea Cortegiani, Cesare Gregoretti, Filippo Vitale, Cesira Palmeri, Pasquale Iozzo, Francesco Forfori, Antonino Giarratano

Published in: Journal of Medical Case Reports | Issue 1/2019

Abstract

Background

Extracorporeal carbon dioxide removal is an increasingly used respiratory support technique. As is true of all extracorporeal techniques, extracorporeal carbon dioxide removal needs proper anticoagulation. We report a case of a patient at risk of bleeding complications who was treated with extracorporeal carbon dioxide removal and anticoagulated with a regional technique.

Case presentation

A 56-year-old Caucasian man with a history of chronic obstructive pulmonary disease exacerbation required extracorporeal carbon dioxide removal for severe hypercapnia and acidosis despite mechanical ventilation. The extracorporeal circuit was anticoagulated using a regional heparin technique to limit the patient’s risk of bleeding due to a low platelet count. The patient underwent 96 h of effective extracorporeal carbon dioxide removal without any adverse events. He was successfully weaned from extracorporeal carbon dioxide removal. During the treatment, no bleeding complications or unexpected circuit clotting was observed.

Conclusions

The use of regional heparin anticoagulation technique seems to be feasible and safe during extracorporeal carbon dioxide removal.

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Title: Regional anticoagulation with heparin of an extracorporeal CO2 removal circuit: a case report
Authors: Jacopo Tramarin
Andrea Cortegiani
Cesare Gregoretti
Filippo Vitale
Cesira Palmeri
Pasquale Iozzo
Francesco Forfori
Antonino Giarratano
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Respiratory Acidosis
Acidosis
Heparin
Published in: Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-019-2051-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Regional anticoagulation with heparin of an extracorporeal CO₂ removal circuit: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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