Survival of a patient who received extracorporeal membrane oxygenation due to postoperative myocardial infarction: A case report

Table 1 Timeline of the patient’s treatment

Date	Time	Event
July 12, 2021		Admission to hospital
July 12, 2021	15:20	Posterolateral approach lumbar fusion + pedicle screw internal fixation + lumbar discectomy with laminectomy + nerve root canal lysis
	19:10	End of the surgery
	19:15	Cardiac arrest
	19:35	Call on ECMO team
	19:45	ECMO team arrives at the scene
	20:15	VA ECMO
	20:30	Transferred to ICU
	22:00-22:50	PCI of the LAD
	22:50-23:00	Pulmonary angiography
	23:25	Returned to ICU
July 19 -20, 2021	23:25-00:00	ACT was 479, non-heparinized ECMO chosen
July 20, 2021	00:00-01:00	The negative pressure ball drainage of the incision was about 300 mL; hemoglobin was 97 g/L
	01:00-02:00	The negative pressure ball drainage of the incision was about 300 mL; hemoglobin was 77 g/L
	02:00-03:00	The negative pressure ball drainage of the incision was about 200 mL
	03:00-04:00	ACT was 180; the negative pressure ball drainage of the incision was about 100 mL; hemoglobin was 88 g/L
	04:00-10:00	ACT was 162; the negative pressure ball drainage rate of the incision gradually decreased; hemoglobin was 105 g/L
	10:00	Heparinized ECMO; the ACT target was 160-180
	00:00-10:00	Repeated blood transfusion
July 25, 2021		Weaned off of ECMO
July 27, 2021		Extubated tracheal intubation
July 30, 2021		Transferred to the Department of Cardiology
August 4, 2021		Discharged

ACT: Activated clotting time; ECMO: Extracorporeal membrane oxygenation; ICU: Intensive Care Unit; LAD: Left anterior descending; PCI: Percutaneous coronary intervention; VA: Venoarterial.