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Extracorporeal Membrane Oxygenation for Adults
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Main description:

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.


Contents:

Physiology of Extracorporeal Life Support (ECLS)

Circuits, Membranes, and Pumps

Modes of ECMO

Vascular Access

Hypoxemic Respiratory Failure: Evidence, Indications, Exclusions

Ventilator management during ECLS

Managing the Systemic Circulation: Volume Status and RV Function

Antithrombotic therapy for ECMO

Membrane Dysfunction

ECCO2R in Obstructive Diseases: Evidence, Indications, Exclusions

ECMO as a bridge to lung transplantation

Daily management of patients on VV ECMO

Crises During ECLS

Mobilization During ECLS

ECMO Weaning and Decannulation

Veno-arterial ECMO in respiratory failure

Ethical Challenges in Extracorporeal Membrane Oxygenation


PRODUCT DETAILS

ISBN-13: 9783031052989
Publisher: Humana
Publication date: August, 2022
Pages: None
Weight: 725g
Availability: Available
Subcategories: Critical Care Medicine, Respiratory Medicine
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