Table 1.

Summary of patient’s clinical data fluid overload from intensive care unit admission to outside hospital to continuous RRT initiation: +15 L >10% from before hospitalization (current weight 135 kg)

ParameterResult
No Known Drug Allergies
ECMO assessmentVV-ECMO
ECMO typeMaquet Cardiohelp
  Clots on oxygenatorNot present
  Quality of oxygenatorGood
ECMO total flow6.21
  RPM4600
ECMO sweep gas flow5 L/min
 ECMO FiO2100%
 ECMO preoxy pressure253 mm Hg
 ECMO postoxy pressure207 mm Hg
 ECMO delta pressure46
Ventilator settings
 Minute ventilation1.02 L/min
 Vent rate set10 br/min
 I: E ratio1:2.00
 Vent modeSIMV
 O2 delivery deviceVentilator
 Volume exchange102 ml
 Spontaneous rate5 br/min
 Peak airway pressure34 cmH20
 Plateau pressure29 cmH20
 FiO2100%
 Pressure set22 cmH20
 PEEP/CPAP set12 cmH20
 PS level set20 cmH20
Labs at consultation
 Sodium (mEq/L)119
 Potassium (mEq/L)5.4
 Chloride (mEq/L)96
 Bicarbonate (mEq/L)18
 BUN (mg/dl)64
 Creatinine (mg/dl)3.0
 Calcium (mg/dl)9.9
 Albumin (g/dl)3.1
 Lactate (mMol/L)2.5
 AST/ALT (U/L)78/53 (nl: 12–39/7–52)
 PT/INR/PTT (s)33/3.14/48
 Arterial blood gas7.36/38/20/50
 White blood cell (103 cells/mm3) 15
 Hemoglobin (g/dl)10.1
 Hematocrit (%)30%
 Platelet (103 cells/mm3)61
 Total bilirubin (mg/dl)2.5 (nl: 0.3–1.4)
 Plasma haptoglobin (mg/dl)110
 LDH (U/L)987
 Urine microscopyMultiple granular casts
 Vasopressor requirementNE
  • ECMO, extracorporeal membrane oxygenation; VV, veno-venous; SIMV, synchronized intermittent mechanical ventilation; PEEP, positive end expiratory pressure; CPAP, continuous positive airway pressure; AST, aspartate aminotransferase; ALT, alanine aminotransferase; PT, prothrombin time; INR, international normalized ratio; PTT, partial thromboplastin time.