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Guideline · Consensus statement

Management of Bleeding and Thrombotic Complications During Pediatric Extracorporeal Membrane Oxygenation: The Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference.

Consensus statementPediatric ECMO Anticoagulation CollaborativE (PEACE), Pediatric Critical Care Medicine2024Full text
  • Blood products
  • Cardiovascular
  • ECMO
  • Haematology and oncology
  • Medical
  • Nursing
  • Respiratory

Summary

Systematic-review informed modified Delphi consensus from the Pediatric ECMO Anticoagulation CollaborativE on managing bleeding and thrombotic complications during paediatric ECMO. Forty-eight experts produced good practice statements, weak recommendations and consensus statements using GRADE and the RAND/UCLA appropriateness method. It applies to children supported on ECMO in PICU and cardiac intensive care settings. The authors highlight the sparse definitive evidence underpinning haemostatic management and call for further research.

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