{"id":4661,"date":"2019-06-04T13:34:00","date_gmt":"2019-06-04T17:34:00","guid":{"rendered":"https:\/\/edecmo.org\/?p=4661"},"modified":"2021-07-07T12:45:31","modified_gmt":"2021-07-07T16:45:31","slug":"55-anticoagulation-of-the-ecmo-patient-with-troy-seelhammer","status":"publish","type":"post","link":"https:\/\/edecmo.org\/55-anticoagulation-of-the-ecmo-patient-with-troy-seelhammer\/","title":{"rendered":"55 &#8211; Anticoagulation of the ECMO Patient with Troy Seelhammer"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_4664\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-4661-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo_55_.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo_55_.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo_55_.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo_55_.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=4661-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/edecmo_55_.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"edecmo_55_.mp3\">Download<\/a> (Duration: 31:25 &#8212; 25.2MB)<\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/edecmo.org\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4675 alignright\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/04\/seelhammer.jpg\" alt=\"\" width=\"168\" height=\"215\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4676 alignleft\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/04\/Logo.png\" alt=\"\" width=\"418\" height=\"217\" \/>Do you give heparin to your ECMO patients?\u00a0 Well, let&#8217;s rethink this.\u00a0 This episode is All Things Anticoagulation!\u00a0\u00a0Zack talks with Troy Seelhammer, an intensivist from Mayo Clinic Rochester.\u00a0 He manages ECMO patients in his daily practice there.\u00a0 He has become a master of the subject of anticoagulation and if you&#8217;re interested in other medicines you can visit a <a href=\"https:\/\/www.canadapharmacy.com\/\">Canadian Pharmacy<\/a> online for this.\u00a0 He will talk about heparin, bilvalirudin, or maybe no anticoagulation.\u00a0 We talk about how TEG can affect our management.\u00a0 We talk about PCC and Protamine when bleeding just won&#8217;t stop.\u00a0 He talks about the when to be aggressive and when to cut back.\u00a0 Below is a wonderful synopsis of Troy&#8217;s thoughts on anticoagulation on pump.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Goal Heparin<\/strong> levels are far from perfect but some suggestions<\/p>\n<p>APTT 1.5 to 2.5 times normal<\/p>\n<p>ACT level &#8211; 180-220 seconds<\/p>\n<p>Antithrombin Levels &#8211; next generation<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Seelhammer doc on Bivalirudin<\/strong> &#8211; <a href=\"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/04\/Bivalirudin-TEG-During-ECMO.docx\">Bivalirudin &amp; TEG During ECMO<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Do you give heparin to your ECMO patients?\u00a0 Well, let&#8217;s rethink this.\u00a0 This episode is All Things Anticoagulation!\u00a0\u00a0Zack talks with Troy Seelhammer, an intensivist from Mayo Clinic Rochester.\u00a0 He manages ECMO patients in his daily practice there.\u00a0 He has become a master of the subject of anticoagulation.\u00a0 He will talk about heparin, bilvalirudin, or maybe no anticoagulation.\u00a0 He talks about the when to be aggressive and when to cut back.\u00a0 Below is a wonderful synopsis of Troy&#8217;s thoughts on anticoagulation on pump.<\/p>\n","protected":false},"author":5,"featured_media":4682,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[330,332,329,120,72,331,327,166,328,223],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/edecmo.org\/wp-content\/uploads\/2019\/05\/logo2.png","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-1db","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/4661"}],"collection":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=4661"}],"version-history":[{"count":0,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/4661\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media\/4682"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=4661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=4661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=4661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}