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.
Based on the authors’ wealth of clinical experience, this book is a practical guide to the use of ECMO in cardiac and respiratory critical care.
Beginning with an overview of the process, indications and patient selection, equipment and preparation, the next selection provides step by step instruction on initiation and management of ECMO, from cannulation and anticoagulation, to monitoring, ventilation and surgical intervention.
The following section covers complications and troubleshooting, describing clinical scenarios and using algorithms and flowcharts to explain their management.
The final chapters discuss weaning and decannulation, and ancillary issues such as record keeping protocols, the ECMO cart and inventory, and out-of-hospital ECMO.
This third edition has been fully revised and updated to provide clinicians with the latest advances in the field.
Based on the authors’ wealth of clinical experience, this book is a practical guide to the use of ECMO in cardiac and respiratory critical care.
Beginning with an overview of the process, indications and patient selection, equipment and preparation, the next selection provides step by step instruction on initiation and management of ECMO, from cannulation and anticoagulation, to monitoring, ventilation and surgical intervention.
The following section covers complications and troubleshooting, describing clinical scenarios and using algorithms and flowcharts to explain their management.
The final chapters discuss weaning and decannulation, and ancillary issues such as record keeping protocols, the ECMO cart and inventory, and out-of-hospital ECMO.
This third edition has been fully revised and updated to provide clinicians with the latest advances in the field.
Indice testuale
Section 1: ECMO: Basics
Introduction to Extracorporeal Membrane Oxygenation
Indication and Selection Criteria
Extracorporeal Membrane Oxygenation Components
Circuit Preparation and Priming
Section 2: Initiation and Management
Pre-extracorporeal Membrane Oxygenation Planning and Preparation
Protocol for Cannulation
Protocol for Anticoagulation
Protocol for Initiation and Stabilization
Protocol for Monitoring the Patient While on Extracorporeal Membrane Oxygenation
Management of Patient on Extracorporeal Membrane Oxygenation
Ventilation During ECMO and Awake ECMO
Surgical Intervention During Extracorporeal Membrane Oxygenation
Protocol for Transport and Retrieval of the Patient on Extracorporeal Membrane Oxygenation
Section 3: Complication and Troubleshooting
Protocol for Managing the Mechanical Complication
Protocol for Troubleshooting While on ECMO
Renal Issues and Protocol for Renal Replacement Therapy
Management of Venoarterial Extracorporeal Membrane Oxygenation Complications
Management of Venovenous Extracorporeal Membrane Oxygenation Complications
Section 4: Weaning and Decannulation
Protocol for Weaning and Trial Off
Carbon Dioxide Removal Device
Section 5: Ancillary Details
Protocol for Record Keeping
Extracorporeal Membrane Oxygenation Cart and Inventory
Protocol for Out-of-Hospital Extracorporeal Membrane Oxygenation
Introduction to Extracorporeal Membrane Oxygenation
Indication and Selection Criteria
Extracorporeal Membrane Oxygenation Components
Circuit Preparation and Priming
Section 2: Initiation and Management
Pre-extracorporeal Membrane Oxygenation Planning and Preparation
Protocol for Cannulation
Protocol for Anticoagulation
Protocol for Initiation and Stabilization
Protocol for Monitoring the Patient While on Extracorporeal Membrane Oxygenation
Management of Patient on Extracorporeal Membrane Oxygenation
Ventilation During ECMO and Awake ECMO
Surgical Intervention During Extracorporeal Membrane Oxygenation
Protocol for Transport and Retrieval of the Patient on Extracorporeal Membrane Oxygenation
Section 3: Complication and Troubleshooting
Protocol for Managing the Mechanical Complication
Protocol for Troubleshooting While on ECMO
Renal Issues and Protocol for Renal Replacement Therapy
Management of Venoarterial Extracorporeal Membrane Oxygenation Complications
Management of Venovenous Extracorporeal Membrane Oxygenation Complications
Section 4: Weaning and Decannulation
Protocol for Weaning and Trial Off
Carbon Dioxide Removal Device
Section 5: Ancillary Details
Protocol for Record Keeping
Extracorporeal Membrane Oxygenation Cart and Inventory
Protocol for Out-of-Hospital Extracorporeal Membrane Oxygenation
