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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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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.
Blood --- Extracorporeal membrane oxygenation. --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Respiratory therapy --- Membrane oxygenators --- Artificial blood circulation --- Extra-corporeal circulation --- Extra-corporeal perfusion --- Extracorporeal circulation --- Extracorporeal perfusion --- Circulation, Artificial. --- Circulation, Artificial --- Medicine --- Medical --- Extracorporeal Membrane Oxygenation
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This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and pneumonia), ventilatory failure (status asthmaticus and COPD), cardiogenic shock, and circulatory or gas exchange failure following complications in cardiothoracic surgery, as well as its use as a bridge to lung transplant. Historically, clinicians have used ECLS as a last resort; however, this text details the technological improvements, evidence of improved outcomes, and adverse consequences of alternative treatments that are causing this modality to be more commonly adopted. Topics include a description of the complex physiology and technology underlying ECLS; the evidence base for its use in specific clinical conditions; vascular access techniques; daily management of the circuit and patient; guidance regarding the weaning and decannulation process; and recommendations for crisis management and rehabilitation related to ECLS. Extracorporeal Life Support for Adults is ideal reading for practicing physicians, nurses, perfusion specialists, therapists, and critical care trainees who are considering whether to refer their patients for ECLS or are already providing ECLS and are seeking a practical reference to best practices and updated information. .
Respiratory System Diseases --- Medicine --- Health & Biological Sciences --- Extracorporeal membrane oxygenation. --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Blood --- Respiratory therapy --- Membrane oxygenators --- Circulation, Artificial --- Pneumology. --- Critical care medicine. --- Internal medicine. --- Pneumology/Respiratory System. --- Intensive / Critical Care Medicine. --- Internal Medicine. --- Medicine, Internal --- Intensive care --- Intensive medicine --- Emergency medicine --- Intensive care units --- Respiratory organs—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 --- Extracorporeal Membrane Oxygenation
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Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly flourished. This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the “ECMO team”, cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges. The authors are well-known experts in the field whose authoritative contributions and attention to practical aspects will be invaluable for novices and experienced practitioners alike.
Extracorporeal membrane oxygenation. --- Blood --- Oxygen --- Circulation, Artificial --- Instruments. --- Physiological transport. --- Delivery of oxygen (Physiology) --- Oxygen delivery (Physiology) --- Oxygen transport (Physiology) --- Body fluids --- Fear of blood --- ECMO (Life support) --- Membrane oxygenation, Extracorporeal --- Respiratory therapy --- Membrane oxygenators --- Critical care medicine. --- Heart --- Pneumology. --- Emergency medicine. --- Intensive / Critical Care Medicine. --- Cardiac Surgery. --- Pneumology/Respiratory System. --- Emergency Medicine. --- Surgery. --- Cardiac surgery --- Open-heart surgery --- Intensive care --- Intensive medicine --- Medicine --- Emergency medicine --- Intensive care units --- Medicine, Emergency --- Critical care medicine --- Disaster medicine --- Medical emergencies --- Diseases --- Surgery --- Cardiac surgery. --- Respiratory organs—Diseases.
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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)
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