Download or read book Survival predictors in ventricular assist device patients with prior extra corporeal life support written by Bujar Maxhera and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Ecmo Extracorporeal Cardiopulmonary Support in Critical Care Red Book written by Gail Annich and published by Extracorporeal Life Support. This book was released on 2012 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Artificial Heart written by Institute of Medicine and published by National Academies Press. This book was released on 1991-02-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: A significant medical event is expected in 1992: the first human use of a fully implantable, long-term cardiac assist device. This timely volume reviews the artificial heart program-and in particular, the National Institutes of Health's major investment-raising important questions. The volume includes: Consideration of the artificial heart versus heart transplantation and other approaches to treating end-stage heart disease, keeping in mind the different outcomes and costs of these treatments. A look at human issues, including the number of people who may require the artificial heart, patient quality of life, and other ethical and societal questions. Examination of how this technology's use can be targeted most appropriately. Attention to achieving access to this technology for all those who can benefit from it. The committee also offers three mechanisms to aid in allocating research and development funds.
Download or read book Use of Extracorporeal Membrane Oxygenation for Cardiac Life Support in Adult Subjects written by and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objectives of this report are to: 1. review the evidence on the outcomes, efficacy and safety of VA-ECMO 2. review the literature to identify optimal patient selection variables for VA-ECMO 3. review the literature to identify programmatic factors that promote optimal ECMO utilization, 4. summarize the MUHC experience with ECMO, focusing primarily on outcomes and cost Methods We performed a li [...] CPB requires storage of blood in a reservoir that can generate an intense inflammatory response, which is associated with complications and poor outcomes.3 Given the considerable variability in etiology of patients treated with the different life support options and the emergent nature of the patients' condition it is particularly challenging to estimate the efficacy or effectiveness of ECMO relat [...] Comparative studies of VA-ECMO vs alternative treatments: A summary of the evidence from five non-randomized studies of the effectiveness of VA- ECMO in prolonging survival in adult cardiac patients relative to alternative treatments appears in Table 1. One study each compared VA-ECMO to a ventricular assist device (VAD),12 to cardiopulmonary bypass (CPB),16 and to mechanical ventilation (MV).17 T [...] Patients in the VA- ECMO group were more likely to have had pulmonary hypertension as the indication for the transplant and were more likely to be admitted to the ICU prior to the transplant. [...] Technology Assessment Unit, MUHC VA-ECMO in adult cardiac patients 33 Of the five studies of in-hospital cardiac arrest patients (four of which used propensity score matching), 10,13,15,23,33 all reported improved survival in the ECPR group compared to the CPR group (improvement in survival ranging from 9.6% to 36.2%), but only three showed statistically significant improvements.13,15,23 Two of th.
Download or read book Core Topics in Cardiothoracic Critical Care written by Kamen Valchanov and published by Cambridge University Press. This book was released on 2018-07-05 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most patients with critical cardiac or thoracic conditions will at some stage pass through the cardiothoracic critical care unit. Critical care presents more complex clinical data than any other area of medicine. The new edition of Core Topics in Cardiothoracic Critical Care focuses on the latest practise in the management of patients in cardiothoracic intensive care. The practice of cardiothoracic critical care medicine is constantly evolving, and this new edition reflects the modernized learning styles for trainees. Each chapter includes key learning points as well as sample multiple choice questions and answers to assist in exam preparation. This edition also features updated chapters on ECMO, perioperative management of patients undergoing emergency cardiothoracic surgery, and advanced modes of organ support for patients. This text provides key knowledge in a concise and accessible manner for trainees, clinicians and consultants from specialities and disciplines such as cardiology and anaesthesia, and nursing and physiotherapy.
Download or read book Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2016-09-14 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extracorporeal membrane oxygenation (ECMO), despite a long and troubled history, is very rapidly evolving into a therapy that can be safely and effectively applied across the world in patients experiencing acute cardiac and/or pulmonary failure. As experiences grow, there is a better understanding of nuances of the importance of teamwork, therapy guidelines and protocols, patient selection, and understanding the functional aspects of pump-circuit technology as it interfaces with human biology. The challenges in managing these very sick and complex patients cannot be understated. The goal of this text is to provide a framework for the development and successful growth of a program. Authors from Centers of Excellence Worldwide have shared their experiences in the full spectrum in dealing with this evolving field.
Download or read book Difficult Decisions in Cardiothoracic Critical Care Surgery written by Vassyl A. Lonchyna and published by Springer. This book was released on 2019-02-13 with total page 719 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical care medicine is responsible for many of the most important advances in outcomes after cardiothoracic surgery in the past two decades. The expertise developed in this subspecialty accounts for the resiliency that characterizes gold standard results evident in institutions recognized for excellence. This volume is intended to share ideas and algorithms that will improve outcomes in cardiothoracic critical care units. This book is part of the Difficult Decisions in Surgery series that covers surgical specialties. The volumes are multi-authored, containing brief chapters, each of which are devoted to one or two specific questions or decisions within that specialty that are difficult or controversial. The volumes are intended as a current and timely reference source for practicing surgeons, surgeons in training, and educators that describe the recommended ideal approach, rather than customary care, in selected clinical situations.
Download or read book ECMO Extracorporeal Cardiopulmonary Support in Critical Care 5th Edition written by Elso and published by . This book was released on 2017-02-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Mechanical Circulatory Support An Issue of Cardiology Clinics E Book written by Palak Shah and published by Elsevier Health Sciences. This book was released on 2018-10-11 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Cardiology Clinics, edited by Drs. Palak Shah and Jennifer Cowger, will focus on Mechanical Circulatory Support. Topics include, but are not limited to, The Evolution of Mechanical Circulatory Support, Continuous-flow Device Engineering and Pump Technology, Surgical Implantation: Perspective and Techniques, Temporary Circulatory Support and ECMO, Durable MCS Candidate Selection, Perioperative Management of the Right and Left Ventricle, Quality of Life, Frailty and Cognitive Impairment in the MCS Candidate, Microbiology and Infections in VAD recipients, Gastrointestinal Bleeding, Cerebrovascular Accident, Antithrombotic Strategies and Device Thrombosis, Impact of MCS on Post-Transplant Outcomes, Hemodynamic Pump-Patient Interactions & VAD Imaging, Ambulatory Patient Management, and Imaging in VAD recipients.
Download or read book Emerging Transplant Infections written by Michele I. Morris and published by Springer. This book was released on 2021-06-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of transplant medicine has evolved significantly since the first kidney transplant was performed in 1954. Innovations in transplant immunosuppression have lowered the risk of organ rejection so that infectious complications are now the leading cause of hospitalization and mortality after solid organ transplant. Infection is also cited as the leading cause of non-relapse mortality after stem cell transplantation. As transplant centers have recognized the importance of transplant specific expertise in patient outcomes, the field of transplant infectious diseases has expanded into a recognized and highly valued subspecialty. International growth in solid organ and stem cell transplantation has outpaced access to such expertise, with some centers employing microbiology laboratory directors and transplant nephrologists as their lead infectious diseases consultants. This has been a particular challenge as the use of novel immunosuppressive regimens in new geographic and immigrant populations have fueled the emergence of new infection syndromes, with the initial presentation sometimes occurring in this most vulnerable patient population. This digital-first book is designed to meet the needs of practitioners engaged in transplant infectious disease practice who need more depth than they are able to find in UpToDate. It provides an overview of emerging infectious disease challenges with clinically relevant information regarding the epidemiology, diagnosis, management, and prevention of infections in solid organ and stem cell transplant recipients. Each chapter focuses on a clinical syndrome or pathogen with new or emerging implications for transplant patients. Given the rapidly evolving nature of emerging infections and topics in transplant infections, no resource has been published on these increasingly notorious issues; this this text is written by top, global experts who regularly update the material to ensure that readers will always have access to the most cutting edge material available. The editorial team consists of three experienced leaders in the field, all of whom have a strong record of scholarship and publication, as well as an international reputation. All three have focused their academic careers on emerging infectious diseases in transplantation, including a current and a past president of various infectious diseases and transplantation societies. The editors are also experienced reviewers and authors who have collaborated on multiple previous projects. All are committed to this project as a unique opportunity to make an important contribution to their field.
Download or read book Handbook of Psychiatry in Palliative Medicine written by Harvey Max Chochinov and published by . This book was released on 2009 with total page 591 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychiatric, or psychosocial, palliative care has transformed palliative medicine. Palliation that neglects psychosocial dimensions of patient and family experience fails to meet contemporary standards of comprehensive palliative care. While a focus on somatic issues has sometimes overshadowed attention to psychological, existential, and spiritual end-of-life challenges, the past decade has seen an all encompassing, multi-disciplinary approach to care for the dying take hold. Written by internationally known psychiatry and palliative care experts, the Handbook of Psychiatry in Palliative Medicine is an essential reference for all providers of palliative care, including psychiatrists, psychologists, mental health counselors, oncologists, hospice workers, and social workers.
Download or read book Advances in Extra corporeal Perfusion Therapies written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2019-01-10 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extracorporeal membrane oxygenation (ECMO) has evolved into an exciting and valuable tool to assist in the management of patients experiencing cardiogenic shock, severe acute respiratory failure, or often a combination of both. While outcomes remain less than ideal, they continue to improve with team experience, better patient selection, and a growing understanding of the nuances of managing patients who require mechanical circulatory support. Patients requiring ECMO are often extremely sick and have complex problems - initiating therapy before the development of end-organ damage is critical. Without doubt, teamwork, guidelines, and protocols are cornerstone concepts for clinical and program success - all topics that are emphasized in this text. The goals of this text are to further outline topics that help address some of the key challenges providers face when considering and applying extracorporeal support therapies to the evolving spectrum of acutely ill patients.
Download or read book Annual Update in Intensive Care and Emergency Medicine 2019 written by Jean-Louis Vincent and published by Springer. This book was released on 2019-03-27 with total page 682 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive reference book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Download or read book Contemporary Heart Transplantation written by Linda Bogar and published by Springer. This book was released on 2020-09-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work provides a one-of- a-kind volume that includes all aspects of heart transplantation from its historic beginning to its current day standards which now make the procedure a long-term treatment option for heart failure patients. The subjects covered include technical aspects of the procurement and implant procedures, as well as the medical nuances of pre-operative preparation and post-transplant immunosuppression management; the current day multi-disciplinary make up of the transplant team along with information on the keys to building and running a successful transplant program; regulatory standards and listing policies and the impact of the growing mechanical circulatory support technologies on the transplant field; and emerging technologies and future possibilities. All chapters are written by experts in the field and include the most up-to-date peer reviewed studies and clinical guidelines. This book gives an ever-changing reference that will become the text of choice for those beginning or continuing their transplant careers.
Download or read book Extracorporeal Membrane Oxygenation written by Marc O. Maybauer and published by Oxford University Press. This book was released on 2022-03-22 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Extracorporeal Membrane Oxygenation : An Interdisciplinary Problem-Based Learning Approach" provides an overview of the latest techniques, management strategies, and technology surrounding the clinical use of ECMO. ECMO is a miniaturized heart-lung-machine that can be used to support patients with either acute respiratory and/or cardiocirculatory failure in numerous scenarios and can be a bridge to either heart or lung transplantation. This book focuseson educating clinicians about this complex but life-saving technology.
Download or read book Rotary Blood Pumps written by Hikaru Matsuda and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rotary blood pumps increasingly are being used in open heart surgery and in assisted circulation for patients with heart disease. These rotary devices include vortex (centrifugal) and axial pumps, which can be utilized in conditions where the use of conventional pulsatile pumps would entail problems of cost and size. Rapid progress is now being made in developing new devices for controlling blood flow within the heart and great vessels as well as extracorporeally for use in coronary and intensive care units and, in the future, for long-term use. This book provides information on the physiology of nonpulsatile circulation, the development of rotary pump engineering, and the clinical application of rotary blood pumps. It also presents an overview of future developments in this important field.
Download or read book ECMO Extracorporeal Life Support in Adults written by Fabio Sangalli and published by Springer Science & Business. This book was released on 2014-04-30 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 “ECMO 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.
