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Title Nursing care and ECMO / Chirine Mossadegh, Alain Combes, editors
Published Cham, Switzerland : Springer, 2017
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Description 1 online resource (viii, 125 pages) : color illustrations
Contents Preface; Contents; Part I: Medical Aspects; Chapter 1: ECMO: Definitions and Principles; 1.1 Introduction; 1.2 Principles; 1.2.1 Equipment; 1.2.1.1 Cannulas; 1.2.1.2 Pump; 1.2.1.3 Circuits; 1.2.1.4 Oxygenators; 1.2.1.5 Heat Exchanger; 1.2.2 Description of Techniques, Indications and Complications; 1.2.2.1 ECMO-VA and ECLS; 1.2.2.2 ECMO-VV; 1.2.2.3 ECMO-VAV; References; Chapter 2: Indications and Physiopathology in Venoarterial ECMO; 2.1 Generalities; 2.2 Optimal Timing for ECMO Implantation; 2.3 Specific Issues by Pathology; 2.3.1 Acute Myocardial Ischemia; 2.3.2 ECMO Postcardiotomy
2.3.3 ECMO for Primary Graft Failure After Heart Transplantation2.3.4 ECMO for Acute Myocarditis; 2.3.5 ECMO and Drug Intoxication; 2.3.6 ECMO and Deep Hypothermia; 2.3.7 ECMO and Severe Pulmonary Embolism; 2.3.8 ECMO and Septic Shock; 2.3.9 ECMO and Refractory Cardiac Arrest; 2.4 Conclusion; References; Chapter 3: Indications and Physiopathology in Venovenous ECMO on Severe Acute Respiratory Distress Syndrome; 3.1 Introduction; 3.2 How Does It Work?; 3.2.1 Settings; 3.2.2 Determinants of Oxygenation on VV-ECMO; 3.2.3 Determinants of Decarboxylation on VV-ECMO
3.3 Main Indications of VV-ECMO for Severe ARDS3.4 Recent Data of ECMO VV in ARDS; 3.5 Mortality Risk Factors and Predictive Survival Models; 3.6 Conclusions; References; Part II: Nursing Care; Chapter 4: Preparing the Patient and the ECMO Device; 4.1 The Team and Equipment Transportation; 4.2 Patient Installation and Preparation; 4.3 Surgical Approach and Preparing ECMO; 4.4 Establishment of ECMO; 4.5 Preparation for Transportation; 4.6 Conclusions; References; Chapter 5: Monitoring the ECMO; 5.1 Monitoring the Circuit; 5.1.1 The Circuit Check; 5.1.2 The Pressure Monitoring
5.2 Adapting the Specifics of ECLS to the Regular Monitoring of the Patient in a Critical Care Unit5.2.1 Pain and Sedation; 5.2.2 Infection; 5.2.3 Skin Care; 5.3 Preventing Complications; 5.3.1 Bleeding; 5.3.1.1 Prevention; 5.3.1.2 Clinical Signs and Treatment; 5.3.2 Thromboembolic Risk; 5.3.3 Hemolysis; 5.3.4 Decannulation; 5.4 Specifics of VA ECMO Patients; 5.4.1 Hemodynamic Monitoring; 5.4.2 Limb Ischemia; 5.4.3 Differential Hypoxia; 5.4.4 Fluid Management; 5.5 Specifics of VV ECMO Patients; 5.5.1 The Avalon® Cannula; 5.5.2 Monitoring of the Patient; 5.5.3 Recirculation; 5.5.3.1 Definition
5.5.3.2 Monitoring5.5.3.3 Treating Recirculation; 5.6 Specifics of VAV ECMO; 5.7 Troubleshooting; 5.7.1 Flow Variations; 5.7.2 Decannulation; 5.7.3 Pump Failure; 5.7.4 Oxygenator Failure; 5.8 Psychological Support; References; Chapter 6: Mobilizing the ECMO Patients in Everyday Care and Ambulation; 6.1 Mobilizing in the Bed; 6.2 Ambulating an ECMO Patient; 6.2.1 Prerequisites; 6.2.2 Practical Aspects; 6.2.3 How to Proceed; References; Chapter 7: Mobilizing the ECMO Patients: Prone Positioning During Venovenous Extracorporeal Membrane Oxygenation (vvECMO); 7.1 Background
Summary This book explores the unique aspects involved in the management of ECMO patients such as physiopathology and indications, setting up the device, monitoring ECMO and the patient, troubleshooting, ethical aspects and rehabilitation. For the past eight years, management of acute heart failure and Acute Respiratory Distress Syndrome (ARDS) patients has been improved by the development of short-term assistance devices, with ECMO as a first line treatment. This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training needs with regard to bedside monitoring for these patients, which has become a major issue. The editors and most of the contributors serve at La Piti©♭-Salp©♭tri©·re ICU, France, which, in terms of the number of admissions and major publications produced, is one of the worldℓ́ℓs leading authorities on ECMO
Notes Online resource; title from PDF title page (SpringerLink, viewed March 28, 2017)
Subject Extracorporeal membrane oxygenation.
Respiratory organs -- Diseases -- Nursing.
Form Electronic book
Author Combes, Alain (Professor of intensive care medicine), editor
Mossadegh, Chirine, editor
ISBN 3319201018 (electronic bk.)
9783319201016 (electronic bk.)
(print)