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Book
A guide to mechanical circulatory support : a primer for ventricular assist device (VAD) clinicians
Authors: ---
ISBN: 3031057120 3031057139 Year: 2023 Publisher: Cham, Switzerland : Springer,


Book
Mechanical blood trauma in circulatory-assist devices
Authors: --- ---
ISBN: 1606507842 9781336097476 1336097477 9781606507841 9780791860397 0791860396 Year: 2015 Publisher: New York, [New York] (222 East 46th Street, New York, NY 10017) : New York, [New York] : Momentum Press ; American Society of Mechanical Engineers,

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Abstract

Mechanical cardiovascular assist devices must be properly designed to avoid damage to the blood they contact. The factors that affect the hemocompatibility of a cardiovascular assist device include three major non-physiological components - the material, fluid flow paths, and flow related stresses - as well as the device interaction with the native vasculature. Furthermore, the interaction of the device with the blood is not static. Foreign surfaces activate blood components including platelets, leukocytes and the coagulation cascade. Thrombus formation on the surface of the device can alter the fluid dynamics in a manner that causes erythrocyte damage ranging from significant hemolysis to sub-lethal trauma that can take many days to weeks to develop into a significant clinical problem. This sub-lethal blood trauma is not easily detectable without special equipment, which is typically unavailable in routine clinical practice. Surveillance for blood damage is often suboptimal in the clinical setting, but once clinically relevant hemolysis occurs, crucial decisions - device removal, replacement, or additional medical therapies including surgery or plasmapheresis - that take into account the risk/benefit of intervention must be quickly evaluated. The various pre-clinical designs and testing, surgical considerations, available surveillance techniques, and clinical consequences will be discussed using recent and historical case reports to highlight key points.


Book
ECMO : extracorporeal cardiopulmonary support in critical care
Author:
ISBN: 9780295745299 0295745290 Year: 2018 Publisher: [Place of publication not identified] : [University of Washington Press],

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Indice de Capitulos; Capítulo 1: Historia y desarrollo soporte extracorpóreo; Capítulo 2: Fisiología ECLS; Capítulo 3: Insuficiencia Cardiaca: Principios y fisiología; Capítulo 4: Insuficiencia respiratoria hipoxica aguda en niños; Capítulo 5: Interacción entre la sangre y superficie del biomaterial durante ECLS; Capítulo 6: Registro ELSO; Capítulo 7: Prefacio de las secciones II a V; Capítulo 8: El circuito; Capítulo 9: Accesos vasculares para soporte extracorpóreo; Capítulo 10: Manejo del flujo sanguíneo e intercambio gaseoso durante ECLS. Capítulo 11: Anticoagulación y sangrado durante ECLSCapítulo 12: Analgesia, sedación, boqueo neuromuscular y control de temperatura en ECLS; Capítulo 13: Función renal y terapias de soporte renal durante ECMO; Capítulo 14: Infecciones y ECMO; Capítulo 15: Procedimientos en ECMO; Capítulo 16: Destete, pruebas de destete y futilidad; Capítulo 17: ECMO respiratorio neonatal; Capítulo 18: ECMO en hernia diafragmática congénita; Capítulo 19: ECMO en la insuficiencia respiratoria pediátrica; Capítulo 20: ECLS cardiaco pediátrico; Capítulo 21: ECMO respiratorio Adulto. Capítulo 22: Soporte cardiaco adultoCapítulo 23: ECPR: Resucitación cardiopulmonar extracorpórea; Capítulo 24: Asistencia ventricular en niños; Capítulo 25: Plasmaféresis; Capítulo 26: Pulmón artificial; Capítulo 27: Asistencia con soporte extracorpóreo en la donación de órganos; Capítulo 28: ECMO y sepsis; Capítulo 29: ECLS pre y post transplante de pulmón; Capítulo 30: Cateterismo cardiaco para pacientes en ECMO; Capítulo 31: El futuro del ECLS; Capítulo 32: Regionalización y Triage; Capítulo 33: Transporte de pacientes en ECMO: del concepto a la implementación. Capítulo 34: Temas administrativos, de entrenamiento y calidad en ECMOCapítulo 35: Finanzas en ECLS; Capítulo 36: Aspectos regulatorios y Legales de ECLS; Capítulo 37: Etica en ECMO y siglo XXI.


Book
Mechanical circulatory and respiratory support
Authors: --- ---
ISBN: 0128104929 0128104910 9780128104927 9780128104910 Year: 2018 Publisher: London, England : Academic Press,


Book
Principles of miniaturized extracorporeal circulation : from science and technology to clinical practice
Authors: --- ---
ISBN: 3642327559 3642327567 128393518X Year: 2013 Publisher: New York : Springer,

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Abstract

Minimal extracorporeal circulation (MECC) systems have been designed in order to reduce dramatically the side-effects of conventional extracorporeal circulation while serving as a safe perfusion technique for open heart surgery with cardiopulmonary bypass. However, the low penetration of this technology in contemporary practice means that few surgical centres have accumulated sufficient experience to share it with the scientific community. Furthermore, much of the knowledge on the use of MECC systems in cardiac surgery is widely dispersed in the literature.  This book aims to provide an up-to-date and comprehensive overview of MECC, offering practical advice on how to use MECC systems for those new to the field as well as tips, pitfalls, results, and latest developments. It also offers a systematic review of all published studies on a variety of MECC systems. The book will enable physicians to gain a better understanding of these new systems as well as to understand the rationale for their use in cardiac surgery. MECC requires a multidisciplinary approach, and this book will serve as an essential reference for all health care professionals working in the cardiac surgical operating room, in particular cardiothoracic surgeons, anaesthesiologists, and perfusionists.


Book
Mechanical support for heart failure : current solutions and new technologies
Authors: --- ---
ISBN: 3030478092 3030478084 Year: 2020 Publisher: Cham, Switzerland : Springer,

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Abstract

This book provides a comprehensive overview of mechanical circulatory support of the failing heart in adults and children. The book uniquely combines engineering knowledge and the clinician’s perspective into a single resource, while also providing insights into current and future development of mechanical circulatory support technology, such as ventricular assist devices, the total artificial heart and catheter-based technologies for heart failure. Topics featured in this book include: The history of mechanical circulatory device development. Fundamentals of hemodynamics support. Clinical management of mechanical circulatory devices. Surgical implantation techniques. Current limitations of device therapies in advanced heart failure. Advanced and novel devices in the development pipeline. Opportunities for advancement in the field.

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