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ECMO Specialist Training Manual 4th Edition Spiral-bound – 2018
by Thomas Brogen (Author)
Spiral-bound
Publisher: ELSO Extra Corporeal life Support Organization (2018)
ISBN-10: 0965675661
ISBN-13: 978-0965675666
Package Dimensions: 11.1 x 9.4 x 1.1 inches
Shipping Weight: 2.3 pounds
Table of Contents
Dedicationi
Preface to the 4th Edition
1. History of ECMO Specialists
Summary
References
2. Respiratory Physiology and Gas Exchange
Native Circulation Gas Exchange
Oxygenation
Carbon Dioxide
Physiology of ECLS
Summary
References
3. Cardiac Physiology Relevant to Extracorporeal Life Support
Introduction
Oxygen Delivery
emodynamics: Pressure, Flow, Resistance and Compliance
Relevance to ECMO
Summary
References
4. Management of Anticoagulation and Blood Products on ECMO
Objectives
Introduction
ECLS Anticoagulation
Anticoagulation Monitoring (Table 4-4)
Conclusion
References
5. Transfusion Management during Extracorporeal Life Support
Transfusion Support during Extracorporeal Life Support (ECLS)
Blood Group Review
Red Blood Cell Transfusion
Platelet Transfusion
Plasma Transfusion
Cryoprecipitate Transfusion
Variability of Transfusion Practice in ECLS
Complications of Transfusion
Adjunctive Therapy to Blood Product Transfusion
References
6. Medication Management in ECLS
Introduction
Pharmacokinetics
Pharmacokinetic Changes in Critical Illness and ECLS
Dosing Strategy
References
7. Respiratory Diseases Associated with ECMO
Neonatal Respiratory ECMO
Pediatric Respiratory ECMO
Adult Respiratory ECMO
References
8. Neonatal, Pediatric, and Adult Cardiac Extracorporeal Life Support
ECMO in Congenital Heart Diseases
Preoperative Support
Failure to Wean Off Cardiopulmonary Bypass
Postoperative Low Cardiac Output State
Extracorporeal Cardiopulmonary Resuscitation (ECPR)
Glenn and Fontan Circulation on ECMO
Myocarditis and Cardiomyopathy
Cardiogenic Shock in Acute Myocardial Infarction and Chronic Heart Failure
Pulmonary Hypertension
Arrhythmias
References
9. ECMO for Cardiopulmonary Arrest and Resuscitation
Introduction
Patient Selection
The Team
Equipment
Vascular Access and Cannulation for ECPR
Space and Location
ECPR Algorithm, Protocols, Checklists, Cognitive Aids
Postcardiac Arrest Care (PCAC) Following ECPR
Ethics and Informed Consent
ECPR Outcomes
References
10. Special Conditions
ECLS in Trauma
ECLS in Pregnancy
ECLS in Sepsis
ECLS in Oncology Patients
Controversies
References
11. Cannulation and Initiation of ECLS
Objectives
The Team and Equipment
Patient Preparation
Approach to Cannulation and Preparing ECMO
Vessel Cannulation
ECMO Initiation
Preparation for Transportation
References
12. Venoarterial ECMO in Adult and Pediatric Patients
Venoarterial ECMO in Adults
V-A ECMO in Neonates and Children.
13. Venovenous Extracorporeal Membrane Oxygenation
Introduction
Respiratory ECMO
Circuit Operation
Cannulation
Cannulae
Weaning
Summary
References
14. Special Configurations in Adult ECLS
Definitions and Terminology
Common Clinical Scenarios
References
15. Extracorporeal Carbon Dioxide Removal (ECCO2R)
Introduction
ECCO2R Technology
Potential Clinical Indications
Complications
Future Perspective and Advances
References
16. ECMO Equipment and Circuit Design
Introduction
ECMO Pump Console
ECMO Circuit Design
17. ECMO Circuit Components
Objectives
Introduction
Considerations for Cannula Selection
Blood Pumps-Rationale for Choosing a Blood Pump for ECLS
Bladders
Oxygenators
Heat Exchangers
References
18. ECLS Safety and Other Monitoring Devices
Introduction
Circuit Related Monitoring
Patient Related Monitoring
19. Management of the Neonate on ECMO
Introduction
Initiation and Circuit Considerations
Daily Patient Management
Conclusion
References
20. Pediatric Respiratory ECLS: Patient Management
div class="smallMargin">Introduction
Patient Management
Associated Measures
Nursing Care
References
21. Patient Management: Neonatal and Pediatric Cardiac ECLS
Introduction
Indictions, Contraindications, and Cannulation
Daily Management of the Cardiac ECLS Patient
ECLS Emergencies
Weaning from ECLS
References
22. Patient Management for the Adult Patient with Respiratory Failure on ECLS
General Principles of Care
Systems Management and Goals
References
Addendum
23. Adult Cardiac ECLS: Patient Management
Cannulation Strategies
Pain and Sedation
Preventing Complications
Hemodynamic Monitoring
Limb and Hand Ischemia
Differential Hypoxia
Fluid Management
Ventilator Management
References
24. Procedures on ECLS
Objectives
Introduction
Preparation and Support
The Environment
Common Noncardiac Surgical Procedures1
Abdominal Surgery1
References
25. Weaning and Trial Off
Introduction
When to Wean
How to Wean
Trial Off ECMO
References
26. Outcomes and Followup of Patients Receiving ECLS1
Introduction
Long-term Outcomes1
Long-term Followup2
References
27. Ambulation and ECLS
Introduction
Rationale for Ambulatory ECMO
A Programatic Approach
Long-term Outcomes
References
28. Acute Kidney Injury and Renal Support Therapy during ECLS
Acute Kidney Injury in ECLS Patients
CRRT during ECLS
References
29. Extracorporeal Support with Therapeutic Apheresis
Introduction
Apheresis during ECLS
Technical Aspects of Apheresis during ECLS
Use and Outcomes of Apheresis during ECLS
Summary of Apheresis during ECLS
References
30. Mechanical Liver Support
Abstract
Introduction
Approach to Treatment
Selected Mechanical Extracorporeal Hepatic Support
Conclusions
Appendix 1: (Adapted from the MARS Product Users Guideline)
References
31. Staffing for the ECMO Patient
Introduction
The Staffing Models and the Decision Process
Choosing the Right Staffing Model for Your Program
Location of Patients and Staffing Impact
Linking Staffing, Education, and Quality
Current State of ECMO Programs
Conclusion
References
32. ECMO Emergencies
Introduction
The ECMO Caregiver
Off-Bypass Procedure
The ECMO Circuit Check
Basic Emergency Management
Thrombosis
Air Embolism and Circuit Pressures
Membrane Oxygenator Failure
Tubing Rupture
Centrifugal Pump Head Failure
Cannula Problems
Accidental Decannulation
Equipment Failure
Miscellaneous Circuit Components
Summary
References
33. Patient Troubleshooting
References
34. Case Simulations
Introduction
Simulation Scenario Format
References
35. Configuration Nomenclature for Extracorporeal Membrane Oxygenation
The ELSO Classification for Peripheral Cannulation Configurations
Classification for Central Cannulation Configuration
Summary
36. Case Scenarios1
37. Chapter Questions
Index
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