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Extracorporeal Membrane Oxygenation (ECMO) is a procedure that uses a machine to take over the work of the lungs and sometimes the heart. The system provides heart-lung bypass support using a pump to circulate blood through an artificial lung back into the bloodstream, providing enough oxygen to the patient, whilst allowing time for the lungs and heart to rest or heal during or after serious illness. ECMO is often used for babies, but can also be used for children and adults (Medline Plus). The techniques for ECMO require professionals from multidisciplinary background to be involved in the procedure.
This practical manual is a comprehensive guide to ECMO. Divided into eleven sections, the book begins with an introduction to the procedure and equipment. The following sections provide step by step discussion on initiation, maintenance of support and monitoring, and techniques of ECMO for different case scenarios.
The final sections present multiple choice questions for self assessment and extensive appendices.
Key points
- Comprehensive guide to Extracorporeal Membrane Oxygenation (ECMO)
- Highly relevant for intensivists, anaesthesiologists, surgeons, paediatricians and cardiologists
- Includes section of multiple choice questions for self assessment
- More than 186 full colour images and illustrations
Poonam Malhotra Kapoor MD DNB MNAMS FIACTA FTEE FISCU
Additional Professor, Department of Cardiac Anaesthesia, Cardiothoracic and Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
SECTION 1: Basics of Extracorporeal Membrane Oxygenation
- Introduction to Extracorporeal Membrane Oxygenation
- Extracorporeal Membrane Oxygenation: Past, Present and Future
- Extracorporeal Life Support Organization Registry Report 2012
- Evolution of Extracorporeal Membrane Oxygenation
- Types of Extracorporeal Membrane Oxygenation
- Physiology of Extracorporeal Life Support
- Indications and Contraindications of Extracorporeal Membrane Oxygenation
SECTION 2: Extracorporeal Membrane Oxygenation Hardware
- Extracorporeal Membrane Oxygenation Circuit and Hardware
SECTION 3: Extracorporeal Membrane Oxygenation Procedure and its Management
- Protocol for Initiation and Stabilization of Extracorporeal Membrane Oxygenation
- Priming in Extracorporeal Membrane Oxygenation
- Monitoring on Extracorporeal Membrane Oxygenation
- Ventilatory Strategies on Extracorporeal Membrane Oxygenation
- Management of a Patient on Extracorporeal Membrane Oxygenation
- Sedation and Management of Pain on Extracorporeal Membrane Oxygenation
- Drug Dosages during Extracorporeal Membrane Oxygenation
- Weaning and Trial Off
- Role of Cerebral Oximetry in Extracorporeal Membrane Oxygenation—PRO and CON
SECTION 4: Extracorporeal Life Support Coagulation, Anticoagulation and Complications
- Extracorporeal Membrane Oxygenation: Anticoagulation
- Point-of-care Coagulation Testing for Patients on Extracorporeal Circulatory Support
- Complications of Extracorporeal Membrane Oxygenation
- Heparin Alternatives
SECTION 5: Extracorporeal Membrane Oxygenation for Renal Issues
- Extracorporeal Life Support and Acute Renal Failure
- Dialysis on Extracorporeal Membrane Oxygenation
- Plasmapheresis
SECTION 6: Pediatric Extracorporeal Membrane Oxygenation
- Extracorporeal Membrane Oxygenation in Pediatric Patients with Respiratory Failure
- Role of Integrated Extracorporeal Membrane Oxygenation in ALCAPA Patients
SECTION 7: Cardiac Issues of Extracorporeal Membrane Oxygenation
- Echocardiographic Imaging of Patients on Extracorporeal Membrane Oxygenation
- Bronchopulmonary Vein Fistula: Role of TEE and ECMO
- Pathophysiology of Heart Failure
- Diastolic Heart Failure: A Clinical Challenge Early Recognition and Timely Intervention is the Need of the Hour
- Role of Extracorporeal Membrane Oxygenation for Acute Decompensated Heart Failure
- Extracorporeal Membrane Oxygenation in Cardiogenic Shock
SECTION 8: Noncardiac Issues of Extracorporeal Membrane Oxygenation
- Extracorporeal Membrane Oxygenation Outside the Operation Room
- Extracorporeal Membrane Oxygenation Carbon Dioxide Removal
- Extracorporeal Membrane Oxygenation for Noncardiac Surgery
- Extracorporeal Membrane Oxygenation for Lung Transplantation
SECTION 9: Extracorporeal Membrane Oxygenation in ICU
- Sepsis in Extracorporeal Membrane Oxygenation
- Extracorporeal Membrane Oxygenation in ICU: Prevention of Nosocomial Infections
- Continuous Renal Replacement Therapy and Extracorporeal Membrane Oxygenation
- Cardio Help: The Future of Extracorporeal Membrane Oxygenation
SECTION 10: Multiple Choice Questions
SECTION 11: Appendices
- Appendix 1: New York Heart Association Functional Classification
- Appendix 2: CESAR Trial
- Appendix 3: Port Score
- Appendix 4: Septic Severity Score
- Appendix 5: Sequential Organ Failure Assessment Score
- Appendix 6: Glasgow Coma Scale