Manual of Extracorporeal Membrane Oxygenation (ECMO) in the ICU


Book Description

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







ECMO in the Adult Patient


Book Description

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.




ISCCM Manual of RRT & ECMO in ICU


Book Description

PART I: RRT Section SECTION 1: AKI and Introduction to RRT Introduction to Renal Replacement Therapy 1. Managerial Aspects of Setting Up Renal Replacement Therapy in Intensive Care Unit 2. Acute Kidney Injury: Epidemiology and Causes SECTION 2: RRT: Basic Principles 3. Principles of Renal Replacement Therapy: Practical Applications 4. Types of Renal Replacement Therapy in ICU 5. Indications for Renal Replacement Therapy in ICU: Renal and Nonrenal 6. Initiation of Renal Replacement Therapy SECTION 3: RRT Components 7. RRT Hardware: Cannulas and Dialysis Membranes 8. CRRT: Know the Machine 9. Dialysate Fluids and Replacement Fluids in Continuous Renal Replacement Therapy SECTION 4: Management during RRT 10. Sustained Low-efficiency Extended Daily Dialysis in ICU 11. CRRT Prescription in ICU Patients 12. Anticoagulation in Continuous Renal Replacement Therapy 13. Transportation of Patients Who are on Continuous Renal Replacement Therapy 14. Monitoring during Continuous Renal Replacement Therapy 15. High-volume CRRT 16. Switch Over From or Termination of Continuous Renal Replacement Therapy SECTION 5: Issues during RRT 17. Complications during Renal Replacement Therapy 18. Troubleshooting in Renal Replacement Therapy 19. Nutrition during Renal Replacement Therapy 20. Drug Dosing in Patients Receiving Renal Replacement Therapy SECTION 6: Renal Replacement Therapy: Special Considerations 21. Dyselectrolytemia and Renal Replacement Therapy in Critically Ill Patients 22. Continuous Renal Replacement Therapy in Specific Situations/Diseases 23. Renal Replacement Therapy and Pregnancy 24. Acute Peritoneal Dialysis in ICU 25. Renal Replacement Therapy in Poisonings: Basic Principles 26. Hemoperfusion for the Treatment of Poisoning. 27. Therapeutic Apheresis 28. Extracorporeal Therapies in Sepsis 29. Renal Replacement Therapy in Children 30. Quality Assurance for Renal Replacement Therapy 31. Multiple Choice Questions on Renal Replacement Therapy PART II: ECMO Section SECTION 7: ECMO: Basic Principle Extracorporeal Membrane Oxygenation: Introduction 32. ECMO: Definition, Type, and Variants 33. ECMO Physiology 34. Indications and Contraindications of Extracorporeal Membrane Oxygenation 35. Know the Extracorporeal Membrane Oxygenation Machine: Circuit and Hardware SECTION 8: ECMO Component 36. Cannulation in Extracorporeal Membrane Oxygenation 37. Circuit Priming and ECMO Initiation 38. Extracorporeal Membrane Oxygenation Circuit Diagram SECTION 9: ECMO: Administrative Issues 39. Development of ECMO Program 40. Communication, Consent, and Ethical Issues during ECMO 41. Cost Reduction Strategy during ECMO SECTION 10: Management during ECMO 42. Anticoagulation Management during Extracorporeal Membrane Oxygenation: Heparin and Alternatives 43. Mechanical Ventilation in Patients Undergoing ECMO 44. Managing Pain, Anxiety and Psychological Issues during Extracorporeal Membrane Oxygenation 45. Blood and Component Therapy during ECMO: When and Why? 46. Proning and Mobilization on ECMO 47. Monitoring during Extracorporeal Membrane Oxygenation 48. Procedures during ECMO Emergency and Nonemergency 49. ECMO Weaning, Trial Off, and Decannulation 50. Post Extracorporeal Membrane Oxygenation 51. Extracorporeal Membrane Oxygenation and Sepsis in Intensive Care Unit SECTION 11: Extracorporeal Membrane Oxygenation: Complication 52. Infection Control Issues during Extracorporeal Membrane Oxygenation 53. Managing Complication during Extracorporeal Membrane Oxygenation 54. Managing Left Ventricular Distension during VA ECMO 5...




Oh's Intensive Care Manual E-Book


Book Description

For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. - New coverage of the latest developments in ICU imaging techniques, including ultrasound. - New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. - New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.




Comprehensive Healthcare Simulation: ECMO Simulation


Book Description

This book focuses on the technical, cognitive, and behavioral skills needed to implement an extracorporeal membrane oxygenation (ECMO) simulation program. It describes these programs on the individual, team, and hospital system level, and includes the history of ECMO simulation, its evolution to its current state, and future directions of technology and science related to ECMO simulation. Divided into six sections, chapters describe both the theoretical as well as the practical aspects of ECMO simulation, including a pictorial guide to setting up an ECMO simulation circuit and how to recreate ECMO emergencies. It is a pragmatic guide that emphasizes the necessary practical items and discussions necessary to plan, set-up, orchestrate, and debrief ECMO simulations for different types of learners in different Comprehensive Healthcare Simulation: ECMO Simulation - A Theoretical and Practical Guide is part of the Comprehensive Healthcare Simulation Series, and this book is intended for educators, simulation technologists, and providers involved in ECMO programs who recognize the value of simulation to improve ECMO outcomes.




Nursing Care and ECMO


Book Description

This book explores the unique aspects involved in the management of ECMO patients such as physiopathology and indications, setting up the device, monitoring ECMO and the patient, troubleshooting, ethical aspects and rehabilitation. For the past eight years, management of acute heart failure and Acute Respiratory Distress Syndrome (ARDS) patients has been improved by the development of short-term assistance devices, with ECMO as a first line treatment. This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training needs with regard to bedside monitoring for these patients, which has become a major issue. The editors and most of the contributors serve at La Pitié-Salpétrière ICU, France, which, in terms of the number of admissions and major publications produced, is one of the world’s leading authorities on ECMO.







Oh's Intensive Care Manual


Book Description

In the 5th Edition of this important text, practical, concise information on intensive care is presented in a clear and accessible style. The text covers a broad spectrum of intensive care medicine with enough detail to eliminate the need to refer to a larger reference book. This thoroughly revised and updated edition reflects the best and most current practices from leading international centres.




Extracorporeal Membrane Oxygenation


Book Description

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.