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Highly Accessed Letter

Algorithm-based management of bleeding in patients with extracorporeal membrane oxygenation

David Faraoni1* and Jerrold H Levy2

Author Affiliations

1 Department of Anesthesiology, Queen Fabiola Children's University Hospital, 15 Avenue JJ Crocq, B-1020 Brussels, Belgium

2 Department of Anesthesiology and Intensive Care, Duke University School of Medicine, DUMC 3094, Durham, NC 27710, USA

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Critical Care 2013, 17:432  doi:10.1186/cc12682


See related research by Repressé et al., http://ccforum.com/content/17/2/R55

Published: 8 May 2013

First paragraph (this article has no abstract)

We read with interest the paper published by Repressé and colleagues [1]. Coagulation management is a challenge during extracorporeal membrane oxygenation (ECMO) due to complex hemostatic and inflammatory responses associated with the underlying conditions that include infection, sepsis, surgery, and/or traumatic injury [2]. Repressé and colleagues present the first algorithm-based approach to bleeding in ECMO patients. However, additional perspectives are important to consider.