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ECMO-Extracorporeal Life Support in Adults

✍ Scribed by Fabio Sangalli, Nicolò Patroniti, Antonio Pesenti (eds.)


Publisher
Springer-Verlag Mailand
Year
2014
Tongue
English
Leaves
475
Edition
1
Category
Library

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✦ Synopsis


Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly flourished.

This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the β€œECMO team”, cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges.

The authors are well-known experts in the field whose authoritative contributions and attention to practical aspects will be invaluable for novices and experienced practitioners alike.

✦ Table of Contents


Front Matter....Pages i-xii
Front Matter....Pages 1-1
History of Extracorporeal Life Support....Pages 3-10
Developing a New ECMO Program....Pages 11-18
Basic Aspects of Physiology During ECMO Support....Pages 19-36
Percutaneous Cannulation: Indication, Technique, and Complications....Pages 37-48
Surgical Cannulation: Indication, Technique, and Complications....Pages 49-63
Materials: Cannulas, Pumps, Oxygenators....Pages 65-76
Coagulation, Anticoagulation, and Inflammatory Response....Pages 77-90
Front Matter....Pages 91-91
Extracorporeal Life Support: Interactions with Normal Circulation....Pages 93-103
ECMO for Ischemic Cardiogenic Shock....Pages 105-116
ECMO for Refractory Cardiac Arrest....Pages 117-125
ECMO for Postcardiotomic Shock....Pages 127-136
ECMO in Myocarditis and Rare Cardiomyopathies....Pages 137-149
ECMO for High-Risk Procedures....Pages 151-161
ECMO for Severe Accidental Hypothermia....Pages 163-170
ECMO in Drug Intoxication....Pages 171-177
Newer Indications for ECMO: Pulmonary Embolism, Pulmonary Hypertension, Septic Shock and Trauma....Pages 179-192
Left Ventricular Rest and Unloading During VA ECMO....Pages 193-206
Weaning from Extracorporeal Circulatory Support....Pages 207-215
Treatment Options for End-Stage Cardiac Failure....Pages 217-235
Front Matter....Pages 237-237
Ventilatory Management of ARDS Before and During ECMO....Pages 239-248
Front Matter....Pages 237-237
Respiratory Monitoring of the ECMO Patient....Pages 249-263
Structure of an ECMO Network for Respiratory Support....Pages 265-272
ECMO and Thoracic Surgery....Pages 273-280
ECMO in the Awake/Extubated Patient....Pages 281-291
ECMO as a Bridge to Lung Transplant....Pages 293-302
Low-Flow ECMO and CO 2 Removal....Pages 303-315
Weaning from VV ECMO....Pages 317-323
Front Matter....Pages 325-325
Heart-Beating and Non-Heart-Beating Donors....Pages 327-335
Lung Reconditioning....Pages 337-342
Front Matter....Pages 343-343
Patient Care During ECMO....Pages 345-359
Echocardiography in Venoarterial and Venovenous ECMO....Pages 361-374
Haemodynamic Monitoring....Pages 375-382
Respiratory Monitoring During VA ECMO....Pages 383-388
Neurological Monitoring During ECMO....Pages 389-399
Monitoring the ECMO Patient: The Extracorporeal Circuit....Pages 401-411
Front Matter....Pages 413-413
Complications of Extracorporeal Support and Their Management....Pages 415-423
Troubleshooting Common and Less Common Problems....Pages 425-441
Front Matter....Pages 443-443
Air Transport: Fixed-Wing and Helicopter....Pages 445-453
Ground Transport: Ambulance....Pages 455-460
Front Matter....Pages 461-461
Newer Indications and Challenges....Pages 463-472
Back Matter....Pages 473-489

✦ Subjects


Intensive / Critical Care Medicine; Cardiac Surgery; Pneumology/Respiratory System; Emergency Medicine


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