Full Description
This book should represent a guideline for launching an extracorporeal membrane oxygenation (ECMO) program. It describes in detail particularities and special features of planning, setting up, developing, structuring and maintaining of ECMO support program for instable patients with the need of transportation from peripheral hospitals to an experienced ECMO centre for further treatment.
Authors have condensed both the current evidence and Guidelines on ECMO and eCPR support and have highlighted in detail the issue of planning, setting up, developing, structuring and maintaining this program with the view to helping other centres launching this life-saving service taking into account their experience in this important field of medicine. In this context, the main benefit of this book is the outstanding and particular aim to educate the reader in developing and maintaining a large-spectrum ECMO program.
The volume, richly illustrated and written by KOLs using an expository writing style to promote the readability will appeal to intensivists, anesthesiologists and cardiologists as well as cardiac- and thoracic-surgeons and pneumologists
Contents
Part 1. Scientific, technical and clinical background of extracorporeal membrane oxygenation (ECMO) therapy.- 1. History of Extracorporeal Life Support: From cardio-pulmonary bypass towards ECMO.- 2. Variety and classification of ECMO systems and cannulation strategies.- 3. Is it time to move on? Discrepancies between official Guidelines and real life clinical scenarios.- 4. Left Ventricular (LV) Decompressing and Venting Strategies - The Game Changers in ECMO Support.- 5. ECMOlogy as the new medical discipline - the way towards interdisciplinary approach of ECMO therapy.- Part 2. From zero to hero: matters and challenges of launching an ECMO retrieval program.- 6. Teamwork makes the dream work: creating interdisciplinary synergies among cardiothoracic surgery, cardiology, pulmonology and anaesthesiology.- 7. Financial aspects and negotiations with manufacturers.- 8. Add-on Modules, Quality Assessment Issues and Specific Arrangements inIntensive Care Units (ICU) Sector: Demand of Infrastructure and Staff.- 9. Brainstorming: personnel education and planning stage of the service.- 10. Assign the Parts: Aspects of ECMO Team Building.- 11. Check Lists, Retrieval Protocols and Internal Guidelines.- 12. As little as possible and as much as necessary: supplementary equipment and "ECMO suitcase" for retrieval service.- 13. Do you really need an ECMO coordinator? Strategies to optimize communication.- 14. Round-the-clock operation: trips and tricks to help achieve flexibility and realizability.- Part 3. Specifics of the propaganda machine: how to get referrals and what is the best way to draw attention to the program.- 15. Professional web presence as an indispensible module of the current information dissemination.- 16. Are printed media still holding their own against the electronic competition?.- 17. Show your face: personal introduction and direct communication with referringcolleagues.- 18. Meet the experts: scientific exchange and academic performance through symposiums and peer reviewed publications.- 19. Make you global debut: benefits of joining Extracorporeal Life Support Organization (ELSO).- Part 4. From start to finish: chronological order and safety aspects of ECMO retrievals from local hospitals.- 20. Time is life: optimization of packing up the equipment and organizing outward journey.- 21. On the road: fast and safe transport of the team and equipment.- 22. On-the-spot check: clinical assessment and decision making.- 23. Pearls and pitfalls in ECMO cannulation: practical tips to minimize complications.- 24. Save the leg: game plans for ensuring distal limb perfusion.- 25. Initial management of transported patients after arrival on ICU.- 26. Ins and outs of extracorporeal cardio-pulmonary resuscitation (eCPR) service.- Part 5. Pushing the boundaries: managing out-of-hospital cardiac arrest.- 27. Out-of-hospital cardiac arrest - Achilles' heel in cardiovascular medicine.- 28. In- or out-of-hospital ECMO implantation? Impact of infrastructure, logistic conditions and legal circumstances.- Part 6. Miscellaneous.- 29. Ethical considerations.- 30. From the view of a patient and next of kin.- 31. Future perspectives.
