Thrombocytopenia in VV
#ECMO? Highly prevalent in VV ECMO, and strongly associated with bleeding risk and reduced survival. Platelet transfusions do not appear to significantly reduce bleeding risk: targeted prevention strategies needed!
#FOAMcc @Crit_Care
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rdcu.be/ez2mh
🔎 adults w resp failure; baseline thrombocytopenia 27.9%, mild 14.7%, moderate 8.7%, severe 4.4%
⚖️ thrombocytopenia in
#ECLS occurred at least once in 80.2%; mild 21.3%, moderate 32.2%, severe 26.7%
🩸mild thrombocytopenia increased risk of bleedings by 61%; moderate & severe by 90%
🚧 risk for thrombocytopenia increased with ICU days prior to ECMO, postop admission, immunocompromised state, RRT, septic shock, low hemoglobin, circuit replacement.