Ichiba Shingo
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Iliopsoas Hematoma in Patients Undergoing Venovenous ECMO.
Journal Formal name：American journal of critical care : an official publication, American Association of Critical-Care Nurses
Abbreviation：Am J Crit Care
ISSN code：1937710X/10623264
Domestic / ForeginForegin
Volume, Issue, Page 30(1),pp.55-63
Author and coauthor Taniguchi Hayato, Ikeda Tokuji, Takeuchi Ichiro, Ichiba Shingo
Publication date 2021/01
Summary BACKGROUND:Iliopsoas hematoma occasionally occurs in patients receiving anticoagulation therapy. It may be a life-threatening complication and can cause disseminated intravascular coagulation, which could develop into abdominal compartment syndrome. The incidence of and factors associated with iliopsoas hematoma during venovenous extracorporeal membrane oxygenation (ECMO) have not been well studied.OBJECTIVES:To describe the incidence of iliopsoas hematoma and associated factors among patients undergoing venovenous ECMO.METHODS:A retrospective cohort study was conducted at Nippon Medical School Hospital from April 2015 to October 2018. All patients (>18 years old) with iliopsoas hematoma received a diagnosis based on computed tomography.RESULTS:During the study period, 54 patients were supported with venovenous ECMO. Iliopsoas hematoma occurred in 8 of those patients (15%), none of whom had disseminated intravascular coagulopathy or abdominal compartment syndrome develop. Univariate analysis indicated that management of ECMO while the patient was awake and mobilization beyond sitting on the edge of the bed were significantly different (P < .05) in patients with and patients without iliopsoas hematoma. Mortality, however, did not differ significantly between the 2 groups.CONCLUSIONS:Our findings emphasize that recognizing factors associated with iliopsoas hematoma and detecting them early are crucial during venovenous ECMO in order to treat patients with iliopsoas hematoma appropriately.
DOI 10.4037/ajcc2021351
PMID 33385201