Which of the following complications of ECLS is the most common?
A. anticoagulation
B. hypotensive injury to organs
C. hemorrhage
D. clot formation
ANS: C
A. Incorrect response: See explanation C.
B. Incorrect response: See explanation C.
C. Correct response: Complications of ECLS usually are related to anticoagulation, pre-existing hypoxic or hypotensive injury to organs, and technical and mechanical complications within the ECLS circuit. Hemorrhage is the most common and most disastrous complication of ECLS, and occurs in approximately 25% of neonatal cases. Bleeding most commonly occurs in the central nervous system, the gastrointestinal tract, and the lungs, or at operative sites. The most devastating of these occurs in the brain.
D. Incorrect response: See explanation C.
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