eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Critical Care Research

Anticoagulation nursing of abnormal coagulation during extracorporeal model pulmonary oxygenation in a patient with systemic lupus erythematosus

  • HE Zhili ,
  • WEI Zhengdeng ,
  • WANG Qiaojin ,
  • BAI Liping ,
  • GAO Mingrong
Expand

Received date: 2022-11-17

  Online published: 2023-05-10

Abstract

To summarize the experience of abnormal coagulation during extracorporeal membrane oxygenation in a patient with systemic lupus erythematosus complicated with pericardial tamponade. A multidisciplinary health care team was involved in the evaluation of anticoagulation risks and the formulation of anticoagulation protocols. An ECMO anticoagulant care team was set up to develop related anticoagulant nursing evaluation lists and procedures,monitor the anticoagulant effect. The evaluation and nursing of preventing thrombosis and lower limb ischemia were carried out throughout the whole process of treatment. After 17 d of treatment and nursing,the patient was stable and transferred back to the ward.

Cite this article

HE Zhili , WEI Zhengdeng , WANG Qiaojin , BAI Liping , GAO Mingrong . Anticoagulation nursing of abnormal coagulation during extracorporeal model pulmonary oxygenation in a patient with systemic lupus erythematosus[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023 , 4(5) : 454 -457 . DOI: 10.3761/j.issn.2096-7446.2023.05.015

References

[1] 花迎杰,刘利鹏,边琳. 系统性红斑狼疮合并低凝血酶原血症-狼疮抗凝物综合征一例[J]. 中华医学杂志,2018,98(8):633.
Hua YJ,Liu LP,Bian L.A case of systemic lupus erythematosus complicated with hypoproteinemia-lupus anticoagulant syndrome[J]. Natl Med J China,2018,98(8):633.
[2] Appleton C,Gillam L,Koulogiannis K.Cardiac tamponade[J]. Cardiol Clin,2017,35(4):525-537.
[3] Chaves RCF,Rabello Filho R,Timenetsky KT,et al.Extracor-poreal membrane oxygenation:a literature review[J]. Rev Bras Ter Intensiva,2019,31(3):410-424.
[4] McMichael ABV,Ryerson LM,Ratano D,et al. 2021 ELSO adult and pediatric anticoagulation guidelines[J]. ASAIO J,2022,68(3):303-310.
[5] Sanfilippo F,Currò JM,la Via L,et al. Use of nafamostat mesilate for anticoagulation during extracorporeal membrane oxygenation:a systematic review[J]. Artif Organs,2022,46(12):2371-2381.
[6] 刘志艳,向倩,崔一民. 甲磺酸萘莫司他临床应用的研究现状[J]. 中国临床药理学杂志,2020,36(15):2368-2372.
Liu ZY,Xiang Q,Cui YM.Research status of clinical application of nafamostatmesilate[J]. Chin J Clin Pharmacol,2020,36(15):2368-2372.
[7] Davenport A.What are the anticoagulation options for intermittent hemodialysis?[J]. Nat Rev Nephrol,2011,7(9):499-508.
[8] Marasco SF,Lukas G,McDonald M,et al. Review of ECMO (extra corporeal membrane oxygenation)support in critically ill adult patients[J]. Heart Lung Circ,2008,17(Suppl 4):S41-S47.
[9] Lang YH,Zheng Y,Qi BC,et al.Anticoagulation with nafamostat mesilate during extracorporeal life support[J]. Int J Cardiol,2022,366:71-79.
[10] Esper SA,Levy JH,Waters JH,et al.Extracorporeal membrane oxygenation in the adult:a review of anticoagulation monitoring and transfusion[J]. Anesth Analg,2014,118(4):731-743.
[11] 司向,管向东. 体外膜肺氧合抗凝管理现状和挑战[J]. 中华医学杂志,2022,102(25):1864-1869.
Si X,Guan XD.Current status and challenges of anticoagulation management in extracorporeal membrane oxygenation[J]. Natl Med J China,2022,102(25):1864-1869.
[12] Liu Y,Yuan ZY,Han XN,et al.A comparison of activated par-tial thromboplastin time and activated coagulation time for anticoagulation monitoring during extracorporeal membrane oxygenation therapy[J]. Hamostaseologie,2022:1-8.
[13] 吕芳芳,殷静静,杨丽娟. 肺切除术后胸腔引流管管理的最佳证据总结[J]. 中华护理杂志,2020,55(5):773-779.
Lü FF,Yin JJ,Yang LJ.Summary of the best evidence for nursing management of thoracic drainage tube after pneumonectomy[J]. Chin J Nurs,2020,55(5):773-779.
[14] 王宁夫. 体外膜氧合器使用中严重并发症的防治[J]. 中华心血管病杂志,2020,48(6):431-433.
Wang NF.Prevention and intervention of major complications during application of extracorporeal membrane oxygenation[J]. Chin J Cardiol,2020,48(6):431-433.
[15] 吴月,徐胜玲,吴华堂. 1例ECMO技术抢救新型冠状病毒肺炎合并感染性休克老年病人的护理[J]. 护理研究,2020,34(7):1130-1133.
Wu Y,Xu SL,Wu HT.Nursing care of a patient with COVID-19 complicated with septic shock treated with ECMO[J]. Chin Nurs Res,2020,34(7):1130-1133.
[16] 罗小龙,黄亮,李洋. 清醒状态下体外膜肺氧合治疗的研究进展[J]. 中华急诊医学杂志,2020,29(7):1007-1010.
Luo XL,Huang L,Li Y.Research progress of extracorporeal membrane oxygenation in awake state[J]. Chin J Emerg Med,2020,29(7):1007-1010.
[17] 中华医学会急诊医学分会复苏学组,成人体外心肺复苏专家共识组. 成人体外心肺复苏专家共识[J]. 中华急诊医学杂志,2018,27(1):22-29.
Resuscitation Group of Emergency Medicine Branch of Chinese Medical Association,Expert Consensus Group of Adult CPR. Expert consensus on adult cardiopulmonary resuscitation[J]. Chin J Emerg Med,2018,27(1):22-29.
[18] 廉波,陈彧,赵舟,等. 插管策略对静-动脉体外膜式氧合相关并发症的影响:单中心回顾性研究[J]. 中国循环杂志,2018, 33(4):380-384.
Lian B,Chen Y,Zhao Z,et al.Impact of cannulation strategies on veno-arterial extracorporeal membrane oxygenation complications—a single center retrospective study[J]. Chin Circ J,2018,33(4):380-384.
[19] Chanan EL,Bingham N,Smith DE,et al.Early detection,prevention,and management of acute limb ischemia in adults supported with venoarterial extracorporeal membrane oxygenation[J]. J Cardiothorac Vasc Anesth,2020,34(11):3125-3132.
Outlines

/