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Ecmo-Extracorporeal Life Support in Adults


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Table of Contents

PART I History and Technical Aspects.- History of extracorporeal life support.- Developing a new ECMO program.- Basic Aspects of Physiology during ECMO Support.- Percutaneous cannulation: indication, technique and complications.- Surgical cannulation: indication, technique and complications.- Materials: cannulas, pumps, oxygenators.- Coagulation, anticoagulation and inflammatory response.- PART II ECMO for circulatory support.- Extracorporeal life support: interactions with normal circulation.- ECMO for ischemic cardiogenic shock.- ECMO for refractory cardiac arrest.- ECMO for post-cardiotomic shock.- ECMO in myocarditis and rare cardiomyopathies.- ECMO for high-risk procedures.- ECMO for severe accidental hypothermia.- ECMO for intoxications.- Newer indications for ECMO: Pulmonary embolism, pulmonary hypertension, septic shock and trauma.- Left ventricular rest and unloading during VA ECMO.- Weaning from extracorporeal circulatory support.- Treatment options for end-stage cardiac failure.- PART III ECMO for respiratory support.- Contemporary ARDS management.- Respiratory monitoring during VA-ECMO.- Structure of an ECMO network for respiratory support.- ECMO and thoracic surgery.- ECMO in the awake/extubated patient.- ECMO as a bridge to lung transplant.- Low-flow ECMO and CO2 removal.- Weaning from VV ECMO.- PART IV ECMO for organ procurement.- Heart beating and non-heart beating donors.- Lung reconditioning.- PART V Monitoring the ECMO patient.- Patient care during ECMO.- Echocardiography in VA and VV ECMO.- Hemodynamic monitoring.- Respiratory monitoring during VA-ECMO.- Neurological monitoring during ECMO.- Monitoring the ECMO patient: the extracorporeal circuit.- PART VI Complications of ECMO.- Complications of extracorporeal support and their management.- Troubleshooting common and less common problems.- PART VII Transport of the ECMO patient.- Fixed-wing and helicopter.- Ambulance.- PART VIII Conclusion.- Newer indications and challenges.


From the book reviews:"This is a multiauthored, broad overview of extracorporeal membrane oxygenation (ECMO) support for various types of critical illness. ... The audience includes senior trainees in cardiopulmonary critical care and intensivists facing difficult cardiopulmonary support problems and major surgical procedures. ... Chapters are clearly written with well done illustrations, tables, line drawings, and photographs. ... this well written overview from a national group of authorities is both timely and relevant." (David J. Dries, Doody's Book Reviews, August, 2014)

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