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Practical Management of ECPELLA
ECMO and concomitant Impella support (ECPELLA) is increasingly being used to treat cardiogenic shock by maintaining systemic circulation and unloading the left ventricle. There are several pitfalls to maintaining ECPELLA, and one useful tool is the pulmonary artery pulsatility index. The clinical advantages of ECPELLA compared to conventional ECMO alone should be demonstrated in larger scale studies in the near future.
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COVID-19: Chest Drains With Air Leak – The Silent ‘Super Spreader’?
to the authors’ knowledge, no specific guidance is available regarding the potential risk of aerosolization of SARS-Cov-2 virus via chest drains in patients with active air leak.
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Management of Heparin-Induced Thrombocytopenia with Fondaparinux in a Patient with Left Ventricular Assist Device
Herein, we present a patient with severe heart failure
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