PMC8482828_01
Supply of nitric oxide to the ECMO circuit in combination with a renal replacement therapy (RRT) session:. (a) diagram; (b) photo: 1 : NO generator; 2 : ECMO setup; 3 : ECMO oxygenator; 4 : RRT device
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F1
It was then decided to add gaseous nitric oxide to the ECMO circuit (Figure 1).
Myocardial damage markers in the patient's blood during NO-containing ECMO
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F2
After 8 h, a decrease in myocardial damage markers was noted: CPK-MB : down to 144 ng/ml, troponin I : down to 126 ng/ml (Figure 2).
Changes in the VIS during NO-containing ECMO
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F3
During that time, ECMO was performed with the calculating flow, and stable hemodynamics was maintained by increased doses of epinephrine and norepinephrine (VIS was 55 units : Figure 3).