ECMO in the Adult Patient

by Alain Vuylsteke, Daniel Brodie, Alain Combes, Jo-anne Fowles, Giles Peek

Overview

Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.

Product Details

ISBN-13:	9781107681248
Publisher:	Cambridge University Press
Publication date:	02/09/2017
Series:	Core Critical Care
Pages:	228
Sales rank:	482,107
Product dimensions:	4.84(w) x 7.28(h) x 0.39(d)

About the Author

Dr Alain Vuylsteke BSc, MA, MD, FRCA, FICM is a Consultant in Intensive Care and Clinical Director at Papworth Hospital, Cambridgeshire.

Daniel Brodie, MD is Associate Professor of Medicine at Columbia College of Physicians and Surgeons, NewYork-Presbyterian Medical Centre, New York.

Alain Combes, MD PhD is Professor of Intensive Care Medicine at the University of Paris, Pierre et Marie Curie, and Senior Intensivist at the Service de Réanimation Médicale Institut de Cardiologie, Hôpital Pitié-Salpêtrière, Paris.

Jo-anne Fowles is Senior Nurse in Critical Care at Papworth Hospital, Cambridgeshire.

Giles Peek, MD FRCS CTh FFICM is Chief of the Division of Pediatric Cardiothoracic Surgery, co-Director of the Pediatric Heart Center, and ECMO Director of the Department of Cardiothoracic and Vascular Surgery at Green Medical Arts Pavilion, New York.

Table of Contents

Note from the authors; List of abbreviations; A patient testimony: I survived ECMO; 1. A brief history of ECMO; 2. An ECMO service; 3. The ECMO circuit; 4. Monitoring the patient on ECMO; 5. Case-selection; 6. Cannulation and decannulation; 7. Coagulation, blood and ECMO; 8. Management of the patient on veno-venous ECMO: general principles; 9. Management of the patient on veno-arterial ECMO: general principles; 10. Patient's transfer; 11. Liberating from ECMO; 12. Specifics of intensive care management for the patient on ECMO; 13. Extracorporeal carbon dioxide removal or ECCO2R; 14. ECMO to support organ donation; 15. The future of ECMO; Appendix: ECMO registries and research; Index.

Editorial Reviews

Reviewer: David James Dries, MSE, MD (Regions Hospital)
Description: This pocket-sized guide to extracorporeal membrane oxygenation (ECMO) is part of the Core Critical Care series published by Cambridge University Press.
Purpose: ECMO is becoming a more popular therapy with a variety of applications including traditional cardiopulmonary failure, with recent inclusion of metabolic disorders, and as a bridge to transplantation of various organs. This is an easy-to-read introductory guide to this important technology.
Audience: Providers at any level requiring an introduction to this form of organ system support will appreciate this relatively brief book produce by authorities based in France and the U.K.
Features: After a brief testimonial from an ECMO survivor, the authors describe the composition of an ECMO service and the history of development for this therapy. They continue with a tour of the ECMO technology available and optimal case selection and initiation of treatment. Potential complications associated with ECMO are discussed, such as coagulation disorders and blood product management. Specific topics include use of ECMO for respiratory failure, transfer of patients supported by this technology, which is sometimes needed, and the sometimes difficult process of liberation of the patient from ECMO. Concluding chapters describe an important application of ECMO for carbon dioxide removal and the use of this means to support the patient requiring organ transplantation or donation. Finally, there is an overview of registry data available for ECMO and research opportunities. Tables are used to good effect, and black-and-white photographs are infrequent but reproduce with good quality. Chapters use only occasional essential references from primary literature or data websites.
Assessment: This is that essential, well-written, quick read necessary for physicians or allied health providers called upon to participate in the care of a patient requiring this type of organ system support. The excellent writing style and effective use of illustrations and tables are highlights.

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