The Use of Extracorporeal Membrane Oxygenation During Acute Chest Crisis in an Adult Sickle Cell Disease Patient: Identification of Pearls and Pitfalls
Arterial blood gas analysis revealed hypoxia and metabolic and respiratory acidosis (pH 6.7, carbondioxide 122 mmHg, partial pressure of oxygen [PaO2] 46 mmHg) with hyperkalemia (6.7 mEq/L). Timely monitoring of HbS and automated red blood cell exchange were unavailable. [...]many patients lack acce...
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| Veröffentlicht in: | The American surgeon 2021-11, Vol.87 (11), p.1833-1835 |
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| container_title | The American surgeon |
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| creator | Tanenbaum, Mira T. Shvygina, Anna Sridhar, Vaishnavi Vaughn, Jennifer E. Joseph, Mark |
| description | Arterial blood gas analysis revealed hypoxia and metabolic and respiratory acidosis (pH 6.7, carbondioxide 122 mmHg, partial pressure of oxygen [PaO2] 46 mmHg) with hyperkalemia (6.7 mEq/L). Timely monitoring of HbS and automated red blood cell exchange were unavailable. [...]many patients lack access to primary care providers and hematologists with training and expertise in treating their disease. |
| doi_str_mv | 10.1177/0003134820923346 |
| format | Article |
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Timely monitoring of HbS and automated red blood cell exchange were unavailable. [...]many patients lack access to primary care providers and hematologists with training and expertise in treating their disease.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/0003134820923346</identifier><identifier>PMID: 32683929</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Acidosis ; Acute Chest Syndrome - complications ; Acute Chest Syndrome - surgery ; Adult ; Adults ; Blood ; Cardiopulmonary resuscitation ; CPR ; Echocardiography ; Erythrocytes ; Extracorporeal membrane oxygenation ; Extracorporeal Membrane Oxygenation - adverse effects ; Extracorporeal Membrane Oxygenation - methods ; Fatal Outcome ; Female ; Gas analysis ; Health care ; Health care access ; Hematology ; Hemoglobin ; Humans ; Hyperkalemia ; Hypoxia ; Hypoxia, Brain - etiology ; Intubation ; Metabolism ; Oxygenation ; Partial pressure ; Patients ; Primary care ; Sickle cell disease ; Ventilators ; Weaning</subject><ispartof>The American surgeon, 2021-11, Vol.87 (11), p.1833-1835</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-811808173a3e2f3f0f3f51fc659e3b9a1b6db004f0c3ee7d491ca470e64f6703</citedby><cites>FETCH-LOGICAL-c365t-811808173a3e2f3f0f3f51fc659e3b9a1b6db004f0c3ee7d491ca470e64f6703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003134820923346$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003134820923346$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32683929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanenbaum, Mira T.</creatorcontrib><creatorcontrib>Shvygina, Anna</creatorcontrib><creatorcontrib>Sridhar, Vaishnavi</creatorcontrib><creatorcontrib>Vaughn, Jennifer E.</creatorcontrib><creatorcontrib>Joseph, Mark</creatorcontrib><title>The Use of Extracorporeal Membrane Oxygenation During Acute Chest Crisis in an Adult Sickle Cell Disease Patient: Identification of Pearls and Pitfalls</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Arterial blood gas analysis revealed hypoxia and metabolic and respiratory acidosis (pH 6.7, carbondioxide 122 mmHg, partial pressure of oxygen [PaO2] 46 mmHg) with hyperkalemia (6.7 mEq/L). 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[...]many patients lack access to primary care providers and hematologists with training and expertise in treating their disease.</description><subject>Acidosis</subject><subject>Acute Chest Syndrome - complications</subject><subject>Acute Chest Syndrome - surgery</subject><subject>Adult</subject><subject>Adults</subject><subject>Blood</subject><subject>Cardiopulmonary resuscitation</subject><subject>CPR</subject><subject>Echocardiography</subject><subject>Erythrocytes</subject><subject>Extracorporeal membrane oxygenation</subject><subject>Extracorporeal Membrane Oxygenation - adverse effects</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Gas analysis</subject><subject>Health care</subject><subject>Health care access</subject><subject>Hematology</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Hyperkalemia</subject><subject>Hypoxia</subject><subject>Hypoxia, Brain - etiology</subject><subject>Intubation</subject><subject>Metabolism</subject><subject>Oxygenation</subject><subject>Partial pressure</subject><subject>Patients</subject><subject>Primary care</subject><subject>Sickle cell disease</subject><subject>Ventilators</subject><subject>Weaning</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1UctO20AUHSEqSGn3rNBIbLpxO2_b3UWBAhIokZqurfH4Thhw7HTGluBL-ru9UQJISCxGR6N7HvdByCln3znP8x-MMcmlKgQrhZTKHJAJ11pnZSHkIZlsy9m2fkw-p_SAX2U0PyLHUphClqKckH_Le6B_EtDe08unIVrXx00fwbb0DtZ1tB3Q-dPzCjo7hL6jF2MM3YpO3TgAnd1DGugshhQSDR21HZ02YzvQ38E9tliHtqUXIYHFgAUaQDf8pDcNQvDB7RwxeAE2tgnlDV2Ewdu2TV_IJ8QEX_d4Qpa_Lpez6-x2fnUzm95mTho9ZAXnBSt4Lq0E4aVn-DT3zugSZF1aXpumxrE9cxIgb1TJnVU5A6O8yZk8Id92tpvY_x1xmmodksO2ce5-TJVQQuuSGSWRev6O-tCPscPmKmFYLlSBi0YW27Fc7FOK4KtNDGsbnyvOqu3Nqvc3Q8nZ3nis19C8Cl6OhIRsR0h2BW-pHxr-B9Mvng0</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Tanenbaum, Mira T.</creator><creator>Shvygina, Anna</creator><creator>Sridhar, Vaishnavi</creator><creator>Vaughn, Jennifer E.</creator><creator>Joseph, Mark</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>202111</creationdate><title>The Use of Extracorporeal Membrane Oxygenation During Acute Chest Crisis in an Adult Sickle Cell Disease Patient: Identification of Pearls and Pitfalls</title><author>Tanenbaum, Mira T. ; Shvygina, Anna ; Sridhar, Vaishnavi ; Vaughn, Jennifer E. ; Joseph, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-811808173a3e2f3f0f3f51fc659e3b9a1b6db004f0c3ee7d491ca470e64f6703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acidosis</topic><topic>Acute Chest Syndrome - 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| ispartof | The American surgeon, 2021-11, Vol.87 (11), p.1833-1835 |
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| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Acidosis Acute Chest Syndrome - complications Acute Chest Syndrome - surgery Adult Adults Blood Cardiopulmonary resuscitation CPR Echocardiography Erythrocytes Extracorporeal membrane oxygenation Extracorporeal Membrane Oxygenation - adverse effects Extracorporeal Membrane Oxygenation - methods Fatal Outcome Female Gas analysis Health care Health care access Hematology Hemoglobin Humans Hyperkalemia Hypoxia Hypoxia, Brain - etiology Intubation Metabolism Oxygenation Partial pressure Patients Primary care Sickle cell disease Ventilators Weaning |
| title | The Use of Extracorporeal Membrane Oxygenation During Acute Chest Crisis in an Adult Sickle Cell Disease Patient: Identification of Pearls and Pitfalls |
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