Book © 2022

Hardcover ISBN978-3-031-05298-9

Edition Number2

Number of PagesXIV, 310

Number of Illustrations11 b/w illustrations, 40 illustrations in colour

TOPICS : Pneumology,  Intensive care Medicine

• Delivers a concise and evidence-based review of extracorporeal membrane oxygenation (ECMO)

• Focuses on veno-venous (VV) ECMO

• Emphasizes insights gained during the recent dramatic increase in ECMO application

About this book

This new edition presents an evidence-based review of extracorporeal membrane oxygenation (ECMO) for adults, with a particular focus on veno-venous (VV) ECMO.

Due to the dramatic impact of COVID-19, the number of institutions offering ECMO, thus the number of clinicians performing ECMO (or referring their patients for ECMO), has exploded in a truly unprecedented way. While the pandemic may fade, programs built in response will survive by extending the application of ECMO to previously overlooked populations.

This fully updated second edition refines its focus to VV ECMO, which has seen the most dramatic increase and relevance.

This allows expert authors to go further in depth regarding VV ECMO and provide readers with better guidance from the physiology of VV ECMO to weaning and decannulation.

Several areas have been expanded, including anti-thrombotic approaches; how to set the mechanical ventilator and judge the complex interactions between patient, ventilator, and ECMO circuit; assessing the systemic circulation during VV ECMO (especially right ventricular function and intravascular volume); and recognizing membrane lung dysfunction. Finally, new chapters addressing how the VV-capable clinician should think about VA ECMO and how to incorporate ethical principles in patient selection and withdrawal of ECMO have been added.

This is an ideal guide for intensive care and respiratory medicine specialists, fellows training in critical care, ECMO specialist staff, perfusionists, nurses, and respiratory therapists.

Table of contents   (17 chapters)

Final del formulario

Front Matter

Pages i-xiv

Physiology of Extracorporeal Life Support (ECLS)

Matthew J. Brain, Warwick W. Butt, Graeme MacLaren

Pages 1-61

Circuits, Membranes, and Pumps

Bradley H. Rosen

Pages 63-79

Modes of ECMO

Jonathan Eaton, Christopher Trosclair, L. Keith Scott

Pages 81-96

Vascular Access

Steven A. Conrad

Pages 97-113

Hypoxemic Respiratory Failure: Evidence, Indications, and Exclusions

Kathleen E. Melville, Cara Agerstrand, Daniel Brodie, Darryl Abrams

Pages 115-124

Ventilator Management During ECLS

Antonio Pesenti, Giacomo Bellani, Giacomo Grasselli, Tommaso Mauri

Pages 125-146

Managing the Systemic Circulation: Volume Status and RV Function

Sundar Krishnan, Gregory A. Schmidt

Pages 147-157

Antithrombotic Therapy for ECMO

Usha S. Perepu

Pages 159-172

Membrane Dysfunction

1. D. Warren, M. J. Sobieszczyk, P. E. Mason

Pages 173-185

ECCO2R in Obstructive Diseases: Evidence, Indications, and Exclusions

Lorenzo Del Sorbo, V. Marco Ranieri, Vito Fanelli

Pages 187-204

ECMO as a Bridge to Lung Transplantation

Christian Kuehn, Ruslan Natanov

Pages 205-215

Daily Management of Patients on VV ECMO

Charles Rappaport, Kristina Rappaport

Pages 217-227

Crises During ECLS

Purnema Madahar, Dana A. Mullin, Meaghan Flatley, Darryl Abrams, Phillipe H. Lemaitre, Daniel Brodie et al.

Pages 229-252

Mobilization During ECLS

Gregory A. Schmidt

Pages 253-263

ECMO Weaning and Decannulation

Sharon L. McCartney, Sundar Krishnan

Pages 265-275

Venoarterial ECMO in Respiratory Failure

Avery Tung, Tae H. Song

Pages 277-291

Ethical Challenges in Extracorporeal Membrane Oxygenation

Elizabeth Sonntag, Meera Pahuja

Pages 293-302

Back Matter

Pages 303-310

Keywords

ECMO

Extracorporeal Membrane Oxygenation

Veno-venous VV

ECLS

Cardiogenic Shock

COVID-19

Extracorporeal Life Support

Hypoxemic Respiratory Failure

Lung Transplantation

Obstructive Disease

Ventilator

Machine

Acute respiratory distress syndrome

ARDS

Lung-protective ventilation

Membrane lung

Ethics

About the editor

Dr. Schmidt is Professor of Internal Medicine in the Division of Pulmonary Diseases, Critical Care, and Occupational Medicine at the University of Iowa. He also serves as Associate Chief Medical Officer for Critical Care at the University of Iowa Hospitals and Clinics and Chairs the Critical Care Subcommittee.

Dr. Schmidt’s teaching and clinical investigation interests include critical care ultrasonography and echocardiography, ventilator waveform interpretation; extracorporeal life support; septic shock, ICU-acquired weakness; and ICU delirium. He has garnered teaching awards at both the University of Chicago and the University of Iowa.

Dr. Schmidt has chaired many symposia on a broad range of critical care topics; authored numerous original articles, textbook chapters, and textbooks; conducts clinical research in the ICU; serves on several editorial boards; and teaches critical care to students, residents, and fellows. With Drs. Jesse Hall and John Kress, he co-edits Principles of Critical Care, published by McGraw-Hill, one of the premier textbooks in the field and now in its 4th edition.