Perfusion · 2022
Zero balance ultrafiltration to correct metabolic alkalosis occurring during veno-arterial extracorporeal membrane oxygenation.
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Blakey Adam K, Quader Mohammed A
Аннотация
INTRODUCTION: We describe a case report of metabolic alkalosis that occurred during veno-arterial extracorporeal membrane oxygenation (VA ECMO) that was corrected during cardiopulmonary bypass (CPB) using zero balance ultrafiltration with normal saline (NS) 0.9%.
CASE REPORT: A 67-year-old male received a heart transplant 6 days after being placed on VA ECMO. During VA ECMO the patient developed metabolic alkalosis. During CPB, zero balance ultrafiltration with NS 0.9% was used to correct metabolic alkalosis.
DISCUSSION: Metabolic alkalosis during CPB is rare. To our knowledge, this is the first reported case of the use of zero balance ultrafiltration to effectively correct metabolic alkalosis.
CONCLUSION: Metabolic alkalosis during CPB may be corrected using zero balance ultrafiltration with NS 0.9%.
CASE REPORT: A 67-year-old male received a heart transplant 6 days after being placed on VA ECMO. During VA ECMO the patient developed metabolic alkalosis. During CPB, zero balance ultrafiltration with NS 0.9% was used to correct metabolic alkalosis.
DISCUSSION: Metabolic alkalosis during CPB is rare. To our knowledge, this is the first reported case of the use of zero balance ultrafiltration to effectively correct metabolic alkalosis.
CONCLUSION: Metabolic alkalosis during CPB may be corrected using zero balance ultrafiltration with NS 0.9%.