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Extracorporeal Membrane Oxygenation

Author : Michael S. Firstenberg
Publisher : Nova Science Publishers
Release : 2021
Category : Extracorporeal membrane oxygenation
ISBN : 1536189154
File Size : 36,9 Mb
Total Download : 116

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Book Summary: "Extra-corporeal membrane oxygenation (ECMO) is an innovative therapy that is used to support the physiologic needs of a patient during illnesses associated with acute severe respiratory and/or cardiac failure. ECMO is used in those life-threatening situations in which the oxygenation, ventilation, and circulatory support needs of the patient cannot be adequately maintained with a maximal conventional ventilator or pharmaceutical support. Essentially, ECMO is a simple pump circuit that can be used to support the role of failing lungs or hearts while therapies are aimed at organ recovery. While simple in concept and theory, this text illustrates the complexities associated with clinical use. The use of ECMO has evolved substantially overall the years-in part due to broader and growing applications, a better understanding of the technologies and how they can be used (especially in the context of long term human-ECMO circuit interactions), objective tools for patient selection, management protocols, and, most importantly, a growing body of evidence-based science and literature that demonstrates the effectiveness of this highly invasive, resource-intensive, and complex tool. The goal of this text is to draw from established thought leaders and experts around the world and present a comprehensive review of the rapidly-evolving and expanding literature regarding the spectrum of applications for ECMO. While by no means is this implied to be the final and exhaustive text on this topic, it does aim to be as comprehensive and up-to-date as possible which is, in itself, a challenge given how quickly this field is evolving. This text is aimed at students and providers, at all levels, who might have interest or be involved in the care of these critically ill patients. Chapters focus on how programs can be structured, the specific details of patient selection, management, and expanding roles of ECMO. Both basic and sophisticated concepts are presented with the goal that all may learn. We also present an objective assessment of some of the evolving challenges and limitations to ECMO in the context of the increased utilization and expansion of this therapy, combined with "sicker" patients, and the ongoing journey towards improved outcomes while offering a salvage therapy to patients who might otherwise die"--

Extracorporeal Membrane Oxygenation

Author : Michael S. Firstenberg
Publisher : BoD – Books on Demand
Release : 2016-09-14
Category : Medical
ISBN : 9789535125525
File Size : 53,9 Mb
Total Download : 238

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Book Summary: Extracorporeal membrane oxygenation (ECMO), despite a long and troubled history, is very rapidly evolving into a therapy that can be safely and effectively applied across the world in patients experiencing acute cardiac and/or pulmonary failure. As experiences grow, there is a better understanding of nuances of the importance of teamwork, therapy guidelines and protocols, patient selection, and understanding the functional aspects of pump-circuit technology as it interfaces with human biology. The challenges in managing these very sick and complex patients cannot be understated. The goal of this text is to provide a framework for the development and successful growth of a program. Authors from Centers of Excellence Worldwide have shared their experiences in the full spectrum in dealing with this evolving field.

ECMO-Extracorporeal Life Support in Adults

Author : Fabio Sangalli,Nicolò Patroniti,Antonio Pesenti
Publisher : Springer Science & Business
Release : 2014-04-30
Category : Medical
ISBN : 9788847054271
File Size : 34,8 Mb
Total Download : 152

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Book Summary: Extracorporeal membrane oxygenation (ECMO) has been in clinical use for some 40 years, but it is only in the past decade that its application in the treatment of life-threatening circulatory and respiratory failure has truly flourished. This book presents a comprehensive overview of both pathophysiological and practical aspects of circulatory and respiratory extracorporeal support. The basics of ECMO, including its history, the “ECMO team”, cannulation, materials, and blood-surface interactions, are first discussed. The various indications for and particular characteristics of circulatory and respiratory extracorporeal life support are then described in detail in the main part of the book. Patient care during ECMO and monitoring of the ECMO patient are also carefully covered, with explanation of the management of technical and clinical complications and transport-related problems. Further topics include long-term therapy options beyond ECMO, such as ventricular assist devices and transplants, outcome, the new frontiers of ECMO for organ procurement and future challenges. The authors are well-known experts in the field whose authoritative contributions and attention to practical aspects will be invaluable for novices and experienced practitioners alike.

Continuous Renal Replacement Therapy

Author : John Kellum,Rinaldo Bellomo,Claudio Ronco
Publisher : Oxford University Press
Release : 2009-12-03
Category : Medical
ISBN : 9780199889389
File Size : 16,9 Mb
Total Download : 465

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Book Summary: In the past decade, CRRT has moved from a niche therapy within specific specialty centers to the standard of care for management of critically ill patients with acute renal failure. Continuous Renal Replacement Therapy provides concise, evidence-based, to-the-point bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on Theory; Pratice; Special Situations; and Organizational Issues, Continuous Renal Replacement Therapy provides a complete view of CRRT theory and practice. Generous tables summarize and highlight key points, and key studies and trials are listed in each chapter.

Oral Board Review for Oral and Maxillofacial Surgery

Author : Robert Reti,Damian Findlay
Publisher : Springer Nature
Release : 2020-12-05
Category : Medical
ISBN : 9783030488802
File Size : 50,8 Mb
Total Download : 125

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Book Summary: The oral board exam for the American Board of Oral and Maxillofacial Surgery (ABOMS) can be intimidating to many surgeons due to the broad range of information one must know for the exam. However, while the examination guidelines provide a general outline of topics that may be covered, there is no true direction on how to prepare for it. Traditionally, candidates do so by using what are considered “underground” databanks, previous test questions, and power point presentations that run the gamut of commonly covered material. Until now, there have been no current comprehensive oral board review books available for the Oral and Maxillofacial Surgery boards. Oral Board Review for Oral and Maxillofacial Surgery fills that gap as the go-to resource for those attempting to successfully challenge the oral boards and for residents to polish up on their training. Edited and authored by top physicians in the field, this book is concise and easy to read, yet thorough with high yield information. An outline of the pertinent material is reviewed, and a patient work up is presented. Important questions to ask, signs to look for, and labs/images to order are included. It also includes tables and keywords that are typically mentioned on the exam and also offers explanations to some key points. Next are cases, which are presented in a question and answer format. As the case progresses, more complicated scenarios requiring management are presented. Lastly, complications are covered, which is the final section of each board scenario. Included are basic topics the surgeon needs to know, followed by topics that are nice to know, and numerous highly debated/complex questions that are discussed among candidates preparing for the exam. It should be noted that the authors are not privy to any inside information about the exam. What is presented is material candidates that have successfully passed the exam feel is important to know. This book is not endorsed by American Association of Oral and Maxillofacial Surgeons or the American Board of Oral and Maxillofacial Surgery.

Comprehensive Healthcare Simulation: ECMO Simulation

Author : Lindsay C. Johnston,Lillian Su
Publisher : Springer Nature
Release : 2020-12-16
Category : Medical
ISBN : 9783030538446
File Size : 35,9 Mb
Total Download : 477

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Book Summary: This book focuses on the technical, cognitive, and behavioral skills needed to implement an extracorporeal membrane oxygenation (ECMO) simulation program. It describes these programs on the individual, team, and hospital system level, and includes the history of ECMO simulation, its evolution to its current state, and future directions of technology and science related to ECMO simulation. Divided into six sections, chapters describe both the theoretical as well as the practical aspects of ECMO simulation, including a pictorial guide to setting up an ECMO simulation circuit and how to recreate ECMO emergencies. It is a pragmatic guide that emphasizes the necessary practical items and discussions necessary to plan, set-up, orchestrate, and debrief ECMO simulations for different types of learners in different Comprehensive Healthcare Simulation: ECMO Simulation - A Theoretical and Practical Guide is part of the Comprehensive Healthcare Simulation Series, and this book is intended for educators, simulation technologists, and providers involved in ECMO programs who recognize the value of simulation to improve ECMO outcomes.

ECMO in the Adult Patient

Author : Alain Vuylsteke,Daniel Brodie,Alain Combes,Jo-anne Fowles,Giles Peek
Publisher : Cambridge University Press
Release : 2017-02-09
Category : Medical
ISBN : 9781107681248
File Size : 10,8 Mb
Total Download : 216

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Book Summary: 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.