2016
DOI: 10.1177/0267659116678057
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Evaluation of a pharmacy managed heparin protocol for extracorporeal membrane oxygenation patients

Abstract: There was a similar rate of thrombotic and bleeding events between the two study groups. A pharmacy managed heparin protocol utilizing aPTT monitoring appears to be a safe and effective method of providing anticoagulation in adult ECMO patients.

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Cited by 21 publications
(6 citation statements)
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“…However, when viewing the large variety of tests used, it is not surprising that results are conflicting. While in some investigations a good correlation between both tests was found, a weak correlation was reported in some other investigations (19)(20)(21).…”
Section: Monitoring Of Anticoagulation With Ufhmentioning
confidence: 83%
“…However, when viewing the large variety of tests used, it is not surprising that results are conflicting. While in some investigations a good correlation between both tests was found, a weak correlation was reported in some other investigations (19)(20)(21).…”
Section: Monitoring Of Anticoagulation With Ufhmentioning
confidence: 83%
“…While there is no evidence on the ECLS anticoagulation strategies, the superior controllability and worldwide experience over decades lead unfractionated heparin as the anticoagulant of choice, frequently controlled by partial thromboplastin time or the activated clotting time measurements, thromboelastometry or factor Xa analysis. 35 , 36 , 37 …”
Section: Resultsmentioning
confidence: 99%
“…[57][58][59][60][61][62][63] However, the anticoagulation goal and frequency of monitoring may vary according to the desired intensity of anticoagulation and center-specific protocols. 56,[64][65][66][67][68][69][70][71][72][73] Antithrombin III (ATIII) levels should also be monitored occasionally, with levels maintained >50%. In situations where UFH cannot be used, anticoagulation for ECMO has been achieved using direct thrombin inhibitors.…”
Section: Anti Coag Ul Ati Onmentioning
confidence: 99%