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Table 4 Management of Hemorrhagic Complications on venovenous extracorporeal life support

From: Venovenous extracorporeal life support for posttraumatic respiratory distress syndrome in adults: the risk of major hemorrhages

Case

Clinical presentations (Hours after ECLS initiation)

Hemorrhagic site

Intervention on ECLS (Outcome)

1

Hemorrhaging from the open fracture wound of sternum (2)

Fractured sternum

Sternotomy (Survived)

2

Anisocoria (61)

Multiple intracranial hemorrhages

Craniotomy (Survived)

3

Abdominal compartment syndrome (IAP * > 30 cm H2O) (12)

The conservatively-treated liver laceration

Peritoneal drainage (Survived)

4

Anisocoria (71)

Intraventricular hemorrhage

No (Survived)

6

Hemorrhaging from the decompressive laparotomy (12)

The packed liver laceration

Laparotomy (Dead)

Anisocoria (40)

Multiple Intracranial hemorrhages.

9

Hemorrhaging from the decompressive laparotomy (4)

The packed liver laceration

No (Dead)

15

Hemorrhaging from the chest tube (15)

The decorticated lung

Thoracotomy (Dead)

  1. *IAP: Intra-abdominal pressure.