2017 ECMO in the adult patient (core critical care)

169 173 1
2017 ECMO in the adult patient (core critical care)

Đang tải... (xem toàn văn)

Tài liệu hạn chế xem trước, để xem đầy đủ mời bạn chọn Tải xuống

Thông tin tài liệu

IntraAbdominal Hypertension Manu Malbrain and Jan De Waele ISBN 9780521149396 Clinical Information Systems in Critical Care Cecilia Morrison, Matthew R. Jones and Julie Bracken ISBN 9780521156745 Delirium in Critical Care, Second Edition Valerie Page and E. Wesley Ely ISBN 9781107433656IntraAbdominal Hypertension Manu Malbrain and Jan De Waele ISBN 9780521149396 Clinical Information Systems in Critical Care Cecilia Morrison, Matthew R. Jones and Julie Bracken ISBN 9780521156745 Delirium in Critical Care, Second Edition Valerie Page and E. Wesley Ely ISBN 9781107433656IntraAbdominal Hypertension Manu Malbrain and Jan De Waele ISBN 9780521149396 Clinical Information Systems in Critical Care Cecilia Morrison, Matthew R. Jones and Julie Bracken ISBN 9780521156745 Delirium in Critical Care, Second Edition Valerie Page and E. Wesley Ely ISBN 9781107433656

... Table 2.2 Specialized topics to be covered in the training of an ECMO clinician Types of ECMO Risk and potential benefits of ECMO Indication and contraindication for ECMO Pathophysiology of the patient on ECMO ECMO equipment (including circuits)... Staff who have undergone specialist training and have expert knowledge of the management of the ECMO patient and the ECMO circuit Will support the ECMO coordinator in day-to-day coordination of the service Attending nurses... are available to teach the basics of ECMO Clinicians involved in ECMO are always willing to help each other Adult intensive care skills are central to the safe delivery of ECMO, and all the basics of intensive

Ngày đăng: 12/07/2018, 10:07

Từ khóa liên quan

Mục lục

  • Half title

  • Core Critical Care

  • Title page

  • Imprints page

  • Contents

  • Note from the authors

  • Abbreviations

  • A patient testimony: I survived ECMO

  • Chapter 1 A brief history of ECMO

    • Starting point

    • In the beginning

    • Moving forward

    • Key points

    • To learn more

  • Chapter 2 An ECMO service

    • Staffing

      • Doctors

      • ECMO specialist

      • ECMO coordinator

      • ECMO director

      • Perfusionist

      • Transfer team

      • Other members of the team

    • Infrastructure

    • Organization

    • Key points

    • To learn more

  • Chapter 3 The ECMO circuit

    • Components of the ECMO circuit (except the cannula)

      • Tubing

      • Blood pump

      • Oxygenator

      • Heat exchangers

    • Circuit monitoring

      • Pressure monitoring

      • Blood gas monitoring

      • Flow rate

      • ‘Human touch’ or clinical inspection

    • ECMO circuit selection

    • ECMO circuit maintenance

    • Key points

    • To learn more

  • Chapter 4 Monitoring the patient on ECMO

    • General principles

    • Monitoring the patient on veno-venous ECMO

    • Monitoring the patient on veno-arterial ECMO

    • Key points

    • To learn more

  • Chapter 5 Case selection

    • Introduction

    • Respiratory diseases

      • Reversibility

      • Specific considerations

        • Frailty

        • Obesity

        • Brain injury

        • Duration of ventilation

        • Failure of conventional management

      • Irreversibility and lung transplantation

    • Cardiac diseases

      • Reversibility

      • Specifics considerations

        • ECMO-assisted cardiopulmonary resuscitation

        • Intractable arrhythmias

        • Acute mechanical defect

        • Bridge to heart transplantation or mechanical assist devices

        • Unable to wean from cardiopulmonary bypass

        • Pulmonary embolism

        • Other problems requiring cardiopulmonary support

        • Bridge to organ donation

    • Other indications

      • Accidental hypothermia

      • Drug intoxication

      • Miscellaneous

    • When not to use ECMO

    • ECMO prediction scores

    • Key points

    • To learn more

  • Chapter 6 Cannulation and decannulation

    • Introduction

    • Who should insert the cannula?

    • Where should cannulation take place?

    • Cannula choice

      • Main features of a cannula

        • Materials

        • Surface coating

        • Length

        • Shape

        • Side holes

        • Double lumen

        • Additional features (insertion/side arms)

      • Cannula comparisons

      • Selection of the cannula

        • Cannulas for central veno-arterial ECMO

        • Cannulas for peripheral veno-arterial ECMO

        • Cannulas for veno-venous ECMO

    • Cannulation technique

      • Reperfusion cannulas

    • Cannula and circuit configuration

    • Complications of cannulation

    • Removal of ECMO cannulas

      • Removal of a venous cannula

      • Removal of an arterial cannula

    • Care after removal of a cannula

    • Key points

    • To learn more

  • Chapter 7 Coagulation, blood and ECMO

    • Haematology input

    • General considerations

      • The need for anticoagulation

      • Assays and blood samples

    • Choice of anticoagulant

      • Unfractionated heparin

      • Fractionated heparin and pentasaccharides

      • Direct thrombin inhibitors

    • Monitoring of anticoagulation

      • Heparin monitoring

        • Activated coagulation time

        • Activated prothrombin time

        • Anti-Xa levels

        • Thromboelastography

        • How important are all these tests?

    • Blood product transfusion

    • Abnormalities of blood count

      • Thrombocytopenia

        • Heparin-induced thrombocytopenia

        • Other causes of thrombocytopenia

      • Other changes in the blood film

      • Haemolysis

    • Haemoglobinopathy patients

    • Bleeding in patients on ECMO

    • Key points

    • To learn more

  • Chapter 8 Management of the patient on veno-venous ECMO: general principles

    • Introduction

    • Stabilization on veno-venous ECMO

    • Oxygenation during veno-venous ECMO

    • Mechanical ventilation in patients during veno-venous ECMO

      • Tidal volume and peak inspiratory pressure

      • Positive end-expiratory pressure

      • Mode of ventilation

    • Adjuncts to mechanical ventilation

      • Fluid balance

      • Tracheostomy

      • Prone positioning

      • Inhaled nitric oxide

    • Key points

    • To learn more

  • Chapter 9 Management of the patient on veno-arterial ECMO: general principles

    • Introduction

    • Stabilization on veno-arterial ECMO

    • Oxygenation during veno-arterial ECMO

    • Adjuncts to veno-arterial ECMO

      • Leg reperfusion

      • Fluid balance

      • Tracheostomy

      • Inotropes

      • Intra-aortic balloon pump

      • Ventricular vents

    • Key points

    • To learn more

  • Chapter 10 Patient transfer

    • Planning

    • Transfer team

    • Transfer equipment

    • Care during transfer

    • Transfer by air

    • Key points

    • To learn more

  • Chapter 11 Liberation from ECMO

    • Introduction

    • Liberating the patient on veno-venous ECMO

    • Liberating the patient on veno-arterial ECMO

    • End-of-life care

    • Key points

    • To learn more

  • Chapter 12 Specifics of intensive care management for the patient on ECMO

    • Sedation and paralysis

    • Ventilation and haemodynamic support during ECMO

    • Renal function and ECMO

      • Impact of ECMO on renal function

      • Indications for RRT in patients treated with ECMO

      • Methods of RRT during ECMO support

      • Anticoagulation with RRT and ECMO

      • Plasmapheresis

    • Sepsis on ECMO

      • ECMO during refractory septic shock

      • Nosocomial infections in patients supported with ECMO

      • Antibiotic therapy

    • Pharmacology and ECMO

      • Drug availability changes during ECMO

      • A few specific drugs and ECMO

    • Nutrition during ECMO

      • Metabolism and energy requirements for patients on ECMO

      • Nutrition initiation time and mode of delivery for ECMO patients

      • Protein, carbohydrate and lipid requirements for ECMO patients

      • Enteral nutrition-related complications

    • Nursing on ECMO

    • Physiotherapy on ECMO

    • Rehabilitation

    • Key points

    • To learn more

  • Chapter 13 Extracorporeal carbon dioxide removal or ECCO2R

    • Principles

    • Devices used for ECCO2R

      • Arterio-venous ECCO2R

      • Veno-venous ECCO2R

    • Complications of ECCO2R

    • Clinical management

      • Anticoagulation

      • Circuit monitoring

      • Patient management

      • Liberation from ECCO2R

    • Key points

    • To learn more

  • Chapter 14 ECMO to support organ donation

    • ECMO as a bridge for organ donation in brain-dead donors

    • ECMO as a bridge for organ donation in non-heart-beating donors

    • To learn more

  • Chapter 15 ECMO registries and research

    • The Extracorporeal Life Support Organization registry

    • International ECMO Network

    • To learn more

  • Appendix: The future of ECMO

  • Index

Tài liệu cùng người dùng

  • Đang cập nhật ...

Tài liệu liên quan