Main 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

Contents:

SECTION 1: Basics of Extracorporeal Membrane Oxygenation

Introduction to Extracorporeal Membrane Oxygenation
Extracorporeal Membrane Oxygenation: Past, Present and Future
Extracorporeal Life Support Organization Registry Report 2012
Evolution of Extracorporeal Membrane Oxygenation
Types of Extracorporeal Membrane Oxygenation
Physiology of Extracorporeal Life Support
Indications and Contraindications of Extracorporeal Membrane Oxygenation

SECTION 2: Extracorporeal Membrane Oxygenation Hardware

Extracorporeal Membrane Oxygenation Circuit and Hardware

SECTION 3: Extracorporeal Membrane Oxygenation Procedure and its Management

Protocol for Initiation and Stabilization of Extracorporeal Membrane Oxygenation
Priming in Extracorporeal Membrane Oxygenation
Monitoring on Extracorporeal Membrane Oxygenation
Ventilatory Strategies on Extracorporeal Membrane Oxygenation
Management of a Patient on Extracorporeal Membrane Oxygenation
Sedation and Management of Pain on Extracorporeal Membrane Oxygenation
Drug Dosages during Extracorporeal Membrane Oxygenation
Weaning and Trial Off
Role of Cerebral Oximetry in Extracorporeal Membrane Oxygenation-PRO and CON

SECTION 4: Extracorporeal Life Support Coagulation, Anticoagulation and Complications

Extracorporeal Membrane Oxygenation: Anticoagulation
Point-of-care Coagulation Testing for Patients on Extracorporeal Circulatory Support
Complications of Extracorporeal Membrane Oxygenation
Heparin Alternatives

SECTION 5: Extracorporeal Membrane Oxygenation for Renal Issues

Extracorporeal Life Support and Acute Renal Failure
Dialysis on Extracorporeal Membrane Oxygenation
Plasmapheresis

SECTION 6: Pediatric Extracorporeal Membrane Oxygenation

Extracorporeal Membrane Oxygenation in Pediatric Patients with Respiratory Failure
Role of Integrated Extracorporeal Membrane Oxygenation in ALCAPA Patients

SECTION 7: Cardiac Issues of Extracorporeal Membrane Oxygenation

Echocardiographic Imaging of Patients on Extracorporeal Membrane Oxygenation
Bronchopulmonary Vein Fistula: Role of TEE and ECMO
Pathophysiology of Heart Failure
Diastolic Heart Failure: A Clinical Challenge Early Recognition and Timely Intervention is the Need of the Hour
Role of Extracorporeal Membrane Oxygenation for Acute Decompensated Heart Failure
Extracorporeal Membrane Oxygenation in Cardiogenic Shock

SECTION 8: Noncardiac Issues of Extracorporeal Membrane Oxygenation

Extracorporeal Membrane Oxygenation Outside the Operation Room
Extracorporeal Membrane Oxygenation Carbon Dioxide Removal
Extracorporeal Membrane Oxygenation for Noncardiac Surgery
Extracorporeal Membrane Oxygenation for Lung Transplantation

SECTION 9: Extracorporeal Membrane Oxygenation in ICU

Sepsis in Extracorporeal Membrane Oxygenation
Extracorporeal Membrane Oxygenation in ICU: Prevention of Nosocomial Infections
Continuous Renal Replacement Therapy and Extracorporeal Membrane Oxygenation
Cardio Help: The Future of Extracorporeal Membrane Oxygenation

SECTION 10: Multiple Choice Questions

SECTION 11: Appendices

Appendix 1: New York Heart Association Functional Classification
Appendix 2: CESAR Trial
Appendix 3: Port Score
Appendix 4: Septic Severity Score
Appendix 5: Sequential Organ Failure Assessment Score
Appendix 6: Glasgow Coma Scale