Download or read book The Practice and Principles of Extra corporeal Membrane Oxygenation ECMO written by Michael S. Firstenberg and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "As demonstrated in the first book, the management of patients with profound respiratory failure or cardiogenic shock has evolved significantly over the years with advances in diagnostic and therapeutic options. While the mortality for these often-overlapping problems remains high, progress in the multi-disciplinary approach to these complex clinical problems has improved survival substantially. The focus of this second book is to explore some of the advanced topics and current literature regarding the management of patients requiring extra-corporeal membrane oxygenation (ECMO). As illustrated in the spectrum of topics discussed, ECMO is not only a complex therapy in itself, but the challenges, problems, and complications that arise in this unique area of medicine require engagement by many diverse disciplines. While there are many physiological issues such as organ protection, management of circuit complications, and optimal lung and cardiac protection for recovery, the use of ECMO also introduces a variety of legal and ethical challenges, particularly end-of-life issues (including brain death) in patients for whom recovery, despite extra-corporeal support, is most likely futile. Each of the chapters, written by world-renowned experts in the field, highlights a different important aspect in understanding the complex dynamics of extra-corporeal support and its impact on human pathophysiology. While many of the topics discussed involve sophisticated concepts, each chapter was written with the goal of providing a comprehensive review suitable for any level of training and experience. Many of the topic discussed highlight the state-of-the-art literature along with expert experiences and perspectives as we try to learn more about the overlapping art and science of a field of medicine that has only recently been accepted as a mainstream treatment option. Students of ECMO, ranging from early stage healthcare providers to master physicians, will benefit from the insights presented"--
Download or read book ECMO in the Adult Patient written by Alain Vuylsteke and published by Cambridge University Press. This book was released on 2017-02-09 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient.
Download or read book Extracorporeal Membrane Oxygenation written by Marc O. Maybauer and published by Oxford University Press. This book was released on 2022-03-08 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. This interdisciplinary book reviews the most common scenarios of ECMO in 62 chapters exploring the conditions and problems arising in ECMO practice. Each chapter begins with a stem case, followed by open questions to encourage critical thinking and enable the reader to follow the management strategies of the authors, who are world leaders in the field. Followed by an evidence-based discussion, each chapter concludes with multiple-choice questions for self-assessment. This book is current in its knowledge of organ systems and management and keeps pace with new ECMO technology and surgical techniques coupled with current guidelines for management. Starting with the history of ECMO to technical aspects, circuit biocompatibility and interaction with blood, drugs and flow physics, the volume continues into pediatric and adult sections, focussing on both respiratory and cardiovascular support, followed by a section on trauma. The volume then concludes with a section on neurologic complications and ethics, as well as rehabilitation and ambulation of ECMO patients. In addition, to reflect the current global health situation, this book also includes a chapter on ECMO management in patients suffering with COVID-19, to cover the most urgent and pressing questions around ECMO during the ongoing pandemic. This is the first ECMO book on the market to utilise a problem-based learning approach and as such is an important unprecedented project on ECMO education.
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 Manual of Extracorporeal Membrane Oxygenation ECMO in the ICU written by Poonam Malhotra Kapoor and published by JP Medical Ltd. This book was released on 2013-09-30 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extracorporeal Membrane Oxygenation (ECMO) is a procedure that uses a machine to take over the work of the lungs and sometimes the heart. The system provides heart-lung bypass support using a pump to circulate blood through an artificial lung back into the bloodstream, providing enough oxygen to the patient, whilst allowing time for the lungs and heart to rest or heal during or after serious illness. ECMO is often used for babies, but can also be used for children and adults (Medline Plus). The techniques for ECMO require professionals from multidisciplinary background to be involved in the procedure. This practical manual is a comprehensive guide to ECMO. Divided into eleven sections, the book begins with an introduction to the procedure and equipment. The following sections provide step by step discussion on initiation, maintenance of support and monitoring, and techniques of ECMO for different case scenarios. The final sections present multiple choice questions for self assessment and extensive appendices. Key points Comprehensive guide to Extracorporeal Membrane Oxygenation (ECMO) Highly relevant for intensivists, anaesthesiologists, surgeons, paediatricians and cardiologists Includes section of multiple choice questions for self assessment More than 186 full colour images and illustrations
Download or read book Core Topics in Thoracic Anesthesia written by Cait P. Searl and published by Cambridge University Press. This book was released on 2009-04-02 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: An accessible source of information about the current spectrum of anesthesia and critical care management of patients undergoing thoracic surgery.
Download or read book Extracorporeal Life Support for Adults written by Gregory A Schmidt and published by Humana Press. This book was released on 2015-11-24 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and pneumonia), ventilatory failure (status asthmaticus and COPD), cardiogenic shock and circulatory or gas exchange failure following complications in cardiothoracic surgery, as well as its use as a bridge to lung transplant. Historically, clinicians have used ECLS as a last resort; however, this text details the technological improvements, evidence of improved outcomes and adverse consequences of alternative treatments that are causing this modality to be more commonly adopted. Topics include a description of the complex physiology and technology underlying ECLS; the evidence base for its use in specific clinical conditions; vascular access techniques; daily management of the circuit and patient; guidance regarding the weaning and decannulation process and recommendations for crisis management and rehabilitation related to ECLS. Extracorporeal Life Support for Adults is ideal reading for practicing physicians, nurses, perfusion specialists, therapists and critical care trainees who are considering whether to refer their patients for ECLS or are already providing ECLS and are seeking a practical reference to best practices and updated information.
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.
Download or read book Cardiopulmonary Bypass written by Sunit Ghosh and published by Cambridge University Press. This book was released on 2015-11-26 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete clinically orientated guide to cardiopulmonary bypass and extracorporeal support for trainee medical and technical personnel in cardiac surgery.
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 Advances in Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and published by BoD – Books on Demand. This book was released on 2019-12-04 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extracorporeal membrane oxygenation is an effective tool for managing patients with severe acute cardiogenic shock and/or respiratory failure. With emphasis on teamwork and adherence to guidelines, protocols, and objective tools to assist in patient selection, management, and weaning, outcomes have improved. Nevertheless, every aspect of supporting patients who require extracorporeal support remains a challenge - with many unanswered questions. The goal of this text, as a supplement to the previous editions on this rapidly evolving topic, is to provide the reader with a more in-depth review of some of the ongoing issues in this field. Topics ranging from administrative aspects to developing a program, nursing issues, ethical concerns, and a variety of clinical topics are discussed at length.
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 Management of Mechanical Ventilation During Extracorporeal Membrane Oxygenation written by David Stahl and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This chapter explores the best practices of mechanical ventilation during extracorporeal membrane oxygenation (ECMO) through a detailed discussion of the physiologic theory and clinical evidence. Future areas of study and unanswered questions about mechanical ventilation during ECMO are also delineated.
Download or read book Extracorporeal Membrane Oxygenation for Adults written by Gregory A. Schmidt and published by Springer Nature. This book was released on 2022-08-10 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition presents an evidence-based review of extracorporeal membrane oxygenation (ECMO) for adults, with a particular focus on veno-venous (VV) ECMO. Due to the dramatic impact of COVID-19, the number of institutions offering ECMO, thus the number of clinicians performing ECMO (or referring their patients for ECMO), has exploded in a truly unprecedented way. While the pandemic may fade, programs built in response will survive by extending the application of ECMO to previously overlooked populations. This fully updated second edition refines its focus to VV ECMO, which has seen the most dramatic increase and relevance. This allows expert authors to go further in depth regarding VV ECMO and provide readers with better guidance from the physiology of VV ECMO to weaning and decannulation. Several areas have been expanded, including anti-thrombotic approaches; how to set the mechanical ventilator and judge the complex interactions between patient, ventilator, and ECMO circuit; assessing the systemic circulation during VV ECMO (especially right ventricular function and intravascular volume); and recognizing membrane lung dysfunction. Finally, new chapters addressing how the VV-capable clinician should think about VA ECMO and how to incorporate ethical principles in patient selection and withdrawal of ECMO have been added. This is an ideal guide for intensive care and respiratory medicine specialists, fellows training in critical care, ECMO specialist staff, perfusionists, nurses, and respiratory therapists.
Download or read book Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and published by Nova Science Publishers. This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Extra-corporeal membrane oxygenation (ECMO) is an innovative therapy that is used to support the physiologic needs of a patient during illnesses associated with acute severe respiratory and/or cardiac failure. ECMO is used in those life-threatening situations in which the oxygenation, ventilation, and circulatory support needs of the patient cannot be adequately maintained with a maximal conventional ventilator or pharmaceutical support. Essentially, ECMO is a simple pump circuit that can be used to support the role of failing lungs or hearts while therapies are aimed at organ recovery. While simple in concept and theory, this text illustrates the complexities associated with clinical use. The use of ECMO has evolved substantially overall the years-in part due to broader and growing applications, a better understanding of the technologies and how they can be used (especially in the context of long term human-ECMO circuit interactions), objective tools for patient selection, management protocols, and, most importantly, a growing body of evidence-based science and literature that demonstrates the effectiveness of this highly invasive, resource-intensive, and complex tool. The goal of this text is to draw from established thought leaders and experts around the world and present a comprehensive review of the rapidly-evolving and expanding literature regarding the spectrum of applications for ECMO. While by no means is this implied to be the final and exhaustive text on this topic, it does aim to be as comprehensive and up-to-date as possible which is, in itself, a challenge given how quickly this field is evolving. This text is aimed at students and providers, at all levels, who might have interest or be involved in the care of these critically ill patients. Chapters focus on how programs can be structured, the specific details of patient selection, management, and expanding roles of ECMO. Both basic and sophisticated concepts are presented with the goal that all may learn. We also present an objective assessment of some of the evolving challenges and limitations to ECMO in the context of the increased utilization and expansion of this therapy, combined with "sicker" patients, and the ongoing journey towards improved outcomes while offering a salvage therapy to patients who might otherwise die"--
Download or read book Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and published by . This book was released on 2022-06-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: