Evidence map›Paper›PMID 36556985›Full record

ReviewMedicina (Kaunas, Lithuania)2022

Anticoagulation Management during Extracorporeal Membrane Oxygenation-A Mini-Review.

Filip Burša, Peter Sklienka, Michal Frelich, Ondřej Jor, Tereza Ekrtová, Jan Máca

Open access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Review
  8. Activated Partial Thromboplastin Time and Anti-IIa Monitoring in Argatroban Anticoagulation in COVID-19 Patients on Venovenous Extracorporeal Membrane Oxygenation.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Filip BuršaDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.ORCID 0000-0001-9770-1433
Peter SklienkaDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.
Michal FrelichDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.
Ondřej JorDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.ORCID 0000-0002-8002-148X
Tereza EkrtováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.ORCID 0000-0001-6222-8922
Jan MácaDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Ostrava, 708 00 Ostrava-Poruba, Czech Republic.
University of Ostrava · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extracorporeal membrane oxygenation (ECMO) has been established as a life-saving technique for patients with the most severe forms of respiratory or cardiac failure. It can, however, be associated with severe complications. Anticoagulation therapy is required to prevent ECMO circuit thrombosis. It is, however, associated with an increased risk of hemocoagulation disorders. Thus, safe anticoagulation is a cornerstone of ECMO therapy. The most frequently used anticoagulant is unfractionated heparin, which can, however, cause significant adverse effects. Novel drugs (e.g., argatroban and bivalirudin) may be superior to heparin in the better predictability of their effects, functioning independently of antithrombin, inhibiting thrombin bound to fibrin, and eliminating heparin-induced thrombocytopenia. It is also necessary to keep in mind that hemocoagulation tests are not specific, and their results, used for setting up the dosage, can be biased by many factors. The knowledge of the advantages and disadvantages of particular drugs, limitations of particular tests, and individualization are cornerstones of prevention against critical events, such as life-threatening bleeding or acute oxygenator failure followed by life-threatening hypoxemia and hemodynamic deterioration. This paper describes the effects of anticoagulant drugs used in ECMO and their monitoring, highlighting specific conditions and factors that might influence coagulation and anticoagulation measurements.

Indexed as

Extracorporeal Membrane OxygenationHeparinAnticoagulantsAntithrombinsBlood CoagulationHumansRetrospective StudiesAnticoagulantsAntithrombinsHeparinanticoagulationantiIIaantiXaaPTTargatrobanbivalirudinextracorporeal membrane oxygenationheparin

Identifiers

PMID36556985
PMCPMC9782867
OpenAlexW4311521623

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.