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The field of cardiothoracic surgery continues to evolve at a rapidly expanding rate. New technologies are under constant development and as patients present with more advanced pathophysiology and complex comorbidities, management becomes more dependent on multi-disciplinary Teams. While there are a variety of innovative and high-profile topics that dominate the literature and the interests of clinicians, sometimes is it the basics both in terms of acute and sometimes unusual problems that often challenge cardiothoracic surgeons on a day to day basis. The goal of Principles and Practice of Cardiothoracic Surgery is to hopefully highlight the current state of the art management of these problems.
Cardiotocography. --- Cardiotocography --- Fetal cardiography --- Fetal monitoring --- Heart rate monitoring --- Cardiothoracic surgery
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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.
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Prothrombin --- Factor II --- Plasmozyme --- Prothrombase --- Thrombogen --- Thrombogenin --- Blood proteins --- Glycoproteins --- Research.
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Extracorporeal membrane oxygenation is an effective tool for managing patients with severe acute cardiogenic shock and/or respiratory failure. With emphasis on teamwork and adherence to guidelines, protocols, and objective tools to assist in patient selection, management, and weaning, outcomes have improved. Nevertheless, every aspect of supporting patients who require extracorporeal support remains a challenge - with many unanswered questions. The goal of this text, as a supplement to the previous editions on this rapidly evolving topic, is to provide the reader with a more in-depth review of some of the ongoing issues in this field. Topics ranging from administrative aspects to developing a program, nursing issues, ethical concerns, and a variety of clinical topics are discussed at length.
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