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Fig. 2 | BMC Cardiovascular Disorders

Fig. 2

From: Cardiogenic shock with highly complicated course after influenza A virus infection treated with vva-ECMO and Impella CP (ECMELLA): a case report

Fig. 2

Time course of cardiogenic shock, ECMELLA and ICU treatment. Chronological events and applied procedures in context of the underlying hemodynamics, point-of-care and laboratory parameters. The time period from referral to external hospital up to 144 h after admission to university hospital is shown. Note the remarkable respiratory acidosis with excessive elevated paCO2 before vv-ECMO implantation, the significant reduction of catecholamines under ECMELLA therapy and the impressive derangement in haemostatic parameters related to bleeding complications demanding massive transfusion. Due to a better overview, 1 cCT and 1 WB-CT, immediately performed after vv-ECMO implantation, are not shown in the figure. ext. hosp., univ. hosp. Admission to external/university hospital, ICU intensive care unit, intub. intubation, coronary angr. coronary angiography, vv(a)-ECMO veno-venous (arterial) extracorporeal membrane oxygenation, cCT cranial CT-scan, WB-CT whole body CT-scan, OR operation room, MAP mean arterial pressure, MCS mechanical circulatory support, pTT partial thromboplastin time, INR international normalized ratio, Fib fibrinogen, ATIII antihrombin III, CRP C-reactive protein, PCT procalcitonin, NSE neuron specific enolase

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