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Venoarterial extracorporeal membrane oxygenation as bridge support for refractory catecholamine-resistant shock and severe lactic acidosis in a patient with metformin exposure and multifactorial contributors: A case report Cover

Venoarterial extracorporeal membrane oxygenation as bridge support for refractory catecholamine-resistant shock and severe lactic acidosis in a patient with metformin exposure and multifactorial contributors: A case report

Open Access
|Apr 2026

Figures & Tables

Laboratory Data by Hospital Day

Hospital DaypHHCO3 (mmol/L)Lactate (mmol/L)
Day 1 (03 Sep 2025)6.8104.517.00
Day 2 (04 Sep 2025)7.18010.117.00
Day 3 (05 Sep 2025)7.44024.514.00

Echocardiography Data by Hospital Day

Hospital DayLVEF (BP, %)LVEF AutoEF (BP, %)LVOT VTI (cm)LVOT Vmax (m/s)LVOTd (cm)LVOT PGmax (mmHg)LVSV_ LVOT (mL)LVOT CO (L/min)LVOT CI (L/min/m2)LVOT SI (mL/m2)TAPSE (cm)RVSP (mmHg)TR Vmax (m/s)ECMO flow–VTI (LPM→cm)
Day 2505012.730.961.93.70374.442.3719.8
Day 3 21.846.220.602.11.45222.121.1311.8 3.3→6; 3.0→6.5; 2.5→7
Day 524 9.300.632.01.59282.581.3815.0 44.922.952.5→8.8; 2.0→9.8; 1.5→9.2
Day 6 10.140.60 1.47 3.5→7.6; 3.0→9.1; 2.5→9.8; 2.0→11.9; 1.5→11.2
Day 7 26.6713.450.71 2.02
Day 84546.7718.520.822.02.72564.632.4829.91.851.463.22
DOI: https://doi.org/10.62838/jccm-2026-0017 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 300 - 305
Submitted on: Oct 26, 2025
Accepted on: Jan 30, 2026
Published on: Apr 30, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Ans Alamami, Rabee Tawel, Saleh Mahmoud, Shameel Ahammed, Abdurrahmaan Elbuzidi, Nadir Kharma, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.