Extracorporeal Membrane Oxygenation For Adults
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Extracorporeal Membrane Oxygenation For Adults
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Author : Gregory A. Schmidt
language : en
Publisher: Springer Nature
Release Date : 2022-08-10
Extracorporeal Membrane Oxygenation For Adults written by Gregory A. Schmidt and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-08-10 with Medical categories.
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.
Ecmo Extracorporeal Life Support In Adults
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Author : Fabio Sangalli
language : en
Publisher: Springer Science & Business
Release Date : 2014-04-30
Ecmo Extracorporeal Life Support In Adults written by Fabio Sangalli and has been published by Springer Science & Business this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-04-30 with Medical categories.
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.
Manual Of Extracorporeal Membrane Oxygenation Ecmo In The Icu
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Author : Poonam Malhotra Kapoor
language : en
Publisher: JP Medical Ltd
Release Date : 2013-09-30
Manual Of Extracorporeal Membrane Oxygenation Ecmo In The Icu written by Poonam Malhotra Kapoor and has been published by JP Medical Ltd this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-09-30 with Medical categories.
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
Extracorporeal Membrane Oxygenation
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Author : Marc O. Maybauer
language : en
Publisher: Oxford University Press
Release Date : 2022-03-22
Extracorporeal Membrane Oxygenation written by Marc O. Maybauer and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-03-22 with Medical categories.
"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.
Ecmo In The Adult Patient
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Author : Alain Vuylsteke
language : en
Publisher: Cambridge University Press
Release Date : 2017-02-09
Ecmo In The Adult Patient written by Alain Vuylsteke and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-02-09 with Medical categories.
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.
Additional Hospital Costs Of Extracorporeal Membrane Oxygenation In Adults
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Author : Thibault Poirier
language : en
Publisher:
Release Date : 2022
Additional Hospital Costs Of Extracorporeal Membrane Oxygenation In Adults written by Thibault Poirier and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022 with categories.
Purpose: To estimate additional ECMO-related costs in adults using the hospital perspective and to determine the proportion of ECMO-related costs in the total cost of the stay. Methods: We performed a retrospective study using our institutional ECMO database considering four main ECMO indications: acute respiratory distress syndrome (ARDS), post- cardiotomy low cardiac output syndrome (PC-LCOS), extracorporeal cardio pulmonary resuscitation (ECPR) and cardiogenic shock (CS). We then prospectively microcosted ECMO implantation and decannulation and used expert advice concerning ECMO daily management to determine additional ECMO-related costs. Total cost of stay was calculated for each indication as the sum of the average cost of stay, estimated using the French national cost database, and additional ECMO-related costs. Results: From 422 hospital stays and 19 microcosted ECMO procedures, we estimated a mean additional ECMO-related cost of €7,421 (min-max; €4,553 - €14,828). Estimated mean total cost of hospital stay for a patient supported by ECMO was €45,305 ± €39,006. Overall, additional ECMO-related costs accounted for 27.2 ± 19.1 % of total hospital stay costs and were highly variable across different ECMO indications. Conclusion: In a large single-center costing study combining gross-costing and prospective microcosting approach, additional ECMO-related costs were high and accounted for a substantial proportion of total hospital stay, with important variations across different ECMO indications. Together, these results advocate for the individualization of ECMO within current costing and funding strategies in ICU.
Extracorporeal Life Support For Adults
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Author : Gregory A Schmidt
language : en
Publisher: Humana Press
Release Date : 2015-11-24
Extracorporeal Life Support For Adults written by Gregory A Schmidt and has been published by Humana Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-11-24 with Medical categories.
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.
Extracorporeal Membrane Oxygenation
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Author : Michael S. Firstenberg
language : en
Publisher: BoD – Books on Demand
Release Date : 2016-09-14
Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2016-09-14 with Medical categories.
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.
Advances In Extracorporeal Membrane Oxygenation
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Author : Michael S. Firstenberg
language : en
Publisher: BoD – Books on Demand
Release Date : 2019-12-04
Advances In Extracorporeal Membrane Oxygenation written by Michael S. Firstenberg and has been published by BoD – Books on Demand this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-04 with Medical categories.
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.
Core Topics In Cardiothoracic Critical Care
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Author : Kamen Valchanov
language : en
Publisher:
Release Date : 2018-07-05
Core Topics In Cardiothoracic Critical Care written by Kamen Valchanov and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-05 with Medical categories.
A fully updated new edition designed specifically for those working within the high-pressure environment of cardiothoracic intensive care.