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Table 1 Adjustment of unfractionated heparin dose during ECMO according to anti-Xa activity and body weight. 20,000 IU UFH + 44 cc NaCl 0.9%

From: Use of multiple laboratory tests including anti-factor Xa to optimally manage anticoagulation during ECMO

Anti-Xa activity

Bolus

Variation

55–64 kg

65–74 kg

75–84 kg

85–94 kg

95–104 kg

105–114 kg

115–124 kg

< 0.2

26 U/kg

↑96 U/kg/h

↑0.6 cc/h

↑0.7 cc/h

↑0.8 cc/h

↑0.9 cc/h

↑1 cc/h

↑1.1 cc/h

↑1.2 cc/h

0.20–0.29

No

↑48 U/kg/h

↑0.3 cc/h

↑0.3 cc/h

↑0.4 cc/h

↑0.4 cc/h

↑0.5 cc/h

↑0.6 cc/h

↑0.7 cc/h

0.30–0.70

No

        

0.71–0.80

No

↓24 U/kg/h

↓0.1 cc/h

↓0.1 cc/h

↓0.2 cc/h

↓0.2 cc/h

↓0.2 cc/h

↓0.3 cc/h

↓0.3 cc/h

0.81–0.99

No

↓48 U/kg/h

↓0.3 cc/h

↓0.3 cc/h

↓0.4 cc/h

↓0.4 cc/h

↓0.5 cc/h

↓0.6 cc/h

↓0.7 cc/h

> 1

No

↓96 U/kg/h

↓0.6 cc/h

↓0.7 cc/h

↓0.8 cc/h

↓0.9 cc/h

↓1.0 cc/h

↓1.1 cc/h

↓1.2 cc/h

  1. The table can be adapted: For 30,000 IU of UFH, use a correction factor of 1.5. For 40,000 IU of UFH, use a correction factor of 2. For 50,000 IU of UFH, use a correction factor of 2.5