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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.

Extracorporeal membrane oxygenation. --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Blood --- Respiratory therapy --- Membrane oxygenators --- Circulation, Artificial --- Accident & emergency medicine

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This new edition presents an evidence-based review of extracorporeal membrane oxygenation (ECMO) for adults, with a particular focus on veno-venous (VV) ECMO. Due to the dramatic impact of COVID-19, the number of institutions offering ECMO, thus the number of clinicians performing ECMO (or referring their patients for ECMO), has exploded in a truly unprecedented way. While the pandemic may fade, programs built in response will survive by extending the application of ECMO to previously overlooked populations. This fully updated second edition refines its focus to VV ECMO, which has seen the most dramatic increase and relevance. This allows expert authors to go further in depth regarding VV ECMO and provide readers with better guidance from the physiology of VV ECMO to weaning and decannulation. Several areas have been expanded, including anti-thrombotic approaches; how to set the mechanical ventilator and judge the complex interactions between patient, ventilator, and ECMO circuit; assessing the systemic circulation during VV ECMO (especially right ventricular function and intravascular volume); and recognizing membrane lung dysfunction. Finally, new chapters addressing how the VV-capable clinician should think about VA ECMO and how to incorporate ethical principles in patient selection and withdrawal of ECMO have been added. This is an ideal guide for intensive care and respiratory medicine specialists, fellows training in critical care, ECMO specialist staff, perfusionists, nurses, and respiratory therapists.

Extracorporeal membrane oxygenation. --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Blood --- Respiratory therapy --- Membrane oxygenators --- Circulation, Artificial --- Respiratory organs --- Critical care medicine. --- Pneumology. --- Intensive Care Medicine. --- Diseases. --- Intensive care --- Intensive medicine --- Medicine --- Emergency medicine --- Intensive care units --- Respiratory diseases

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Extracorporeal membrane oxygenation (ECMO) has evolved into an exciting and valuable tool to assist in the management of patients experiencing cardiogenic shock, severe acute respiratory failure, or often a combination of both. While outcomes remain less than ideal, they continue to improve with team experience, better patient selection, and a growing understanding of the nuances of managing patients who require mechanical circulatory support. Patients requiring ECMO are often extremely sick and have complex problems - initiating therapy before the development of end-organ damage is critical. Without doubt, teamwork, guidelines, and protocols are cornerstone concepts for clinical and program success - all topics that are emphasized in this text. The goals of this text are to further outline topics that help address some of the key challenges providers face when considering and applying extracorporeal support therapies to the evolving spectrum of acutely ill patients.

Extracorporeal membrane oxygenation. --- Extracorporeal shock wave therapy. --- ESWT (Extracorporeal shock wave therapy) --- Shock wave therapy, Extracorporeal --- Shock waves --- Therapeutics, Physiological --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Blood --- Respiratory therapy --- Membrane oxygenators --- Therapeutic use --- Circulation, Artificial --- Medicine --- Cardiology and Cardiovascular Medicine --- Health Sciences

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Artificial Organs. --- Extracorporeal Circulation. --- Lung --- Membranes, Artificial. --- Respiratory Insufficiency --- Extracorporeal membrane oxygenation --- -Lungs --- -Membrane oxygenators --- -Respiratory distress syndrome, Adult --- -Acute pulmonary failure --- Acute pulmonary insufficiency --- Acute respiratory distress syndrome --- Acute respiratory failure --- Adult respiratory distress syndrome --- ARDS (Disease) --- Atelectesis, Congestive --- Congestive atelectesis --- Danang lung --- Post-traumatic respiratory failure --- Pump lung --- Respirator lung --- Shock lung --- Wet lung --- Pulmonary manifestations of general diseases --- Respiratory insufficiency --- Traumatic shock --- Lungs, Membrane --- Membrane lungs --- Oxygenators, Membrane --- Oxygenators --- Cardiopulmonary system --- Chest --- Respiratory organs --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Blood --- Respiratory therapy --- Membrane oxygenators --- Artificial Membranes --- Artificial Membrane --- Membrane, Artificial --- Circulation, Extracorporeal --- Circulations, Extracorporeal --- Extracorporeal Circulations --- Artificial Organ --- Organ, Artificial --- Organs, Artificial --- surgery. --- therapy. --- Congresses --- Transplantation --- -Congresses --- Circulation, Artificial --- Lungs --- Respiratory distress syndrome, Adult --- Artificial organs --- Extracorporeal circulation --- Membranes, Artificial --- Congresses. --- Surgery --- Therapy --- -surgery. --- -Artificial Membranes --- Acute pulmonary failure --- Artificial Organs --- Extracorporeal Circulation --- Transplantation&delete& --- surgery --- therapy --- Lung. --- Membranes (nonbiological)