Description
"Extracorporeal Membrane Oxygenation : An Interdisciplinary Problem-Based Learning Approach" provides an overview of the latest techniques, management strategies and technology surrounding the clinical use of ECMO. This interdisciplinary book reviews the most common scenarios of ECMO in 62 chapters exploring the conditions and problems arising in ECMO practice.Each chapter begins with a stem case, followed by open questions to encourage critical thinking and enable the reader to follow the management strategies of the authors, who are world leaders in the field. Followed by an evidence-based discussion, each chapter concludes with multiple-choice questions for self-assessment. This book is current in its knowledge of organ systems and management and keeps pace with new ECMO technology and surgical techniques coupled with current guidelines for management.Starting with the history of ECMO to technical aspects, circuit biocompatibility and interaction with blood, drugs and flow physics, the volume continues into pediatric and adult sections, focussing on both respiratory and cardiovascular support, followed by a section on trauma. The volume then concludes with a section on neurologic complications and ethics, as well as rehabilitation and ambulation of ECMO patients. In addition, to reflect the current global health situation, this book also includes a chapter on ECMO management in patients suffering with COVID-19, to cover the most urgent and pressing questions around ECMO during the ongoing pandemic.This is the first ECMO book on the market to utilise a problem-based learning approach and as such is an important unprecedented project on ECMO education.
Table of Contents
HISTORY OF ECMO1 From the first ECMO patient into the futureTECHNICAL AND PROGRAMMATIC ASPECTS OF ECMO2 Development and staffing of an ECMO service3 ECMO configurations and cannulation in pediatric patients4 ECMO configurations and cannulation in adult patients5 The ECMO circuit and trouble shooting6 Echocardiography in the management of ECMO patients7 Airway management in ECMO patients8 Acute renal failure and renal replacement therapy in ECMO patients9 Ambulance ground transportation of ECMO patients10 Fixed-wing and helicopter air transport of ECMO patients11 Implications and experiences with long run ECMOECMO BLOOD INTERACTION12 The unholy blood - biomaterial interaction in extracorporeal13 Heparin anticoagulation for Trans-catheter Aortic Valve Implantation on ECMO14 Bivalirudin for alternative anticoagulation in heparin induced thrombocytopenia during ECMO15 Argatroban for anticoagulation in pediatric and adult ECMO16 ECMO transfusion and coagulation managementPHARMACOLOGICAL CONSIDERATIONS FOR ECMO17 Pharmacological considerations for analgesia and sedation of ECMO18 Challenges of antimicrobial therapy in ECMO patients19 Vasopressor and inotropic support in ECMO patients with refractory shockECMO IN NEONATAL AND PEDIATRIC RESPIRATORY DISEASE20 ECMO for Meconium Aspiration Syndrome21 ECMO for neonatal pulmonary hypertension and associated22 ECMO in Congenital Diaphragmatic Hernia23 Evidence and management of rare presentations in neonatal ECMO24 ECMO for the pediatric patient with Status Asthmaticus25 ECMO for pediatric pneumonia and sepsis26 ECMO in pediatric lung transplantation27 Weaning and decannulation of neonatal and pediatric respiratory ECMO supportECMO IN NEONATAL AND PEDIATRIC CARDIAC DISEASE28 ECMO in pediatric patients with univentricular circulation29 ECMO in pediatric patients with congenital heart disease30 Extracorporeal cardiopulmonary resuscitation in children31 ECMO as a bridge to pediatric heart transplantation32 Weaning and decannulation of pediatric cardiac ECMOECMO IN ADULT RESPIRATORY DISEASE33 Veno-venous ECMO for Acute Respiratory Distress Syndrome34 Extracorporeal CO2 removal to enhance protective ventilation in ARDS35 ECMO in Middle Eastern Respiratory Syndrome (MERS-CoV)36 ECMO in SARS-CoV-2 (COVID-19) patients37 ECMO in pregnancy and the peripartum patient38 ECMO in sickle cell disease and acute chest syndrome39 ECMO for severe respiratory failure secondary to HIV infection40 Bicaval dual lumen ECMO cannulation for lung transplantation41 Weaning and liberation from V-V ECMOECMO IN ADULT CARDIAC DISEASE42 ECMO support for adults with congenital heart disease43 ECMO for myocardial infarction with cardiogenic shock44 ECMO support for patients with myocarditis45 Left ventricular venting strategies during ECMO support46 ECMO support for patients with major aortic surgery or dissection47 Mechanical support for post-cardiotomy right ventricular failure48 ECMO for the complicated post-cardiotomy cardiac arrest49 ECMO for accidental hypothermia and cardiorespiratory arrest50 ECMO support for pulmonary embolism51 Extracorporeal cardiopulmonary resuscitation in adults52 Bridging from ECMO to durable left ventricular assist device53 ECMO in the management of heart transplantation54 Weaning and liberation from V-A ECMOECMO IN THE ADULT TRAUMA PATIENT55 ECMO for hemorrhagic shock after blunt trauma56 ECMO in patients with burn and smoke inhalation injuryREHABILITATION, NEUROLOGICAL AND ETHICAL ASPECTS OF ECMO57 ECMO in the awake patient, early extubation and physical rehabilitation58 Neurodevelopmental outcome after pediatric cardiac ECMO support59 Neurologic complications in adult ECMO60 Management of ECMO complicated by intracranial hemorrhage61 Neurological monitoring and determination of brain death in ECMO62 Ethical considerations for ECMO initiation and end-of-life care



