The Practice and Principles of Extra-Corporeal Membrane Oxygenation (ECMO)


Series: Medical Procedures, Testing and Technology
BISAC: MED003040

As demonstrated in the first book, the management of patients with profound respiratory failure or cardiogenic shock has evolved significantly over the years with advances in diagnostic and therapeutic options. While the mortality for these often-overlapping problems remains high, progress in the multi-disciplinary approach to these complex clinical problems has improved survival substantially. The focus of this second book is to explore some of the advanced topics and current literature regarding the management of patients requiring extra-corporeal membrane oxygenation (ECMO). As illustrated in the spectrum of topics discussed, ECMO is not only a complex therapy in itself, but the challenges, problems, and complications that arise in this unique area of medicine require engagement by many diverse disciplines. While there are many physiological issues such as organ protection, management of circuit complications, and optimal lung and cardiac protection for recovery, the use of ECMO also introduces a variety of legal and ethical challenges, particularly end-of-life issues (including brain death) in patients for whom recovery, despite extra-corporeal support, is most likely futile. Each of the chapters, written by world-renowned experts in the field, highlights a different important aspect in understanding the complex dynamics of extra-corporeal support and its impact on human pathophysiology. While many of the topics discussed involve sophisticated concepts, each chapter was written with the goal of providing a comprehensive review suitable for any level of training and experience. Many of the topic discussed highlight the state-of-the-art literature along with expert experiences and perspectives as we try to learn more about the overlapping art and science of a field of medicine that has only recently been accepted as a mainstream treatment option. Students of ECMO, ranging from early stage healthcare providers to master physicians, will benefit from the insights presented.

Table of Contents

Giles J. Peek

Chapter 1. ECMO for Neonates, Infants, and Children
Elizabeth H. Stephens, Caitlin L. Blau, Devon O. Aganga, Matheus Falasa, Giles J. Peek, Mark S. Bleiweis, Joseph A. Dearani and Jeffrey P. Jacobs

Chapter 2. Extracorporeal Membrane Oxygenation in the Setting of Mechanical Complications of Myocardial Infarction
Hellmuth R. Muller Moran and Michael H. Yamashita

Chapter 3. Optimal Management of Respiratory Failure and Mechanical Ventilation during Extracorporeal Membrane Oxygenation
Aniket S. Rali, Christopher M. Howard, J. Patrick Herlihy, Alexis E. Shafii and Subhasis

Chapter 4. Extracorporeal Membrane Oxygenation and Acute Kidney Injury
Bijin Thajudeen and Iyad Mansour

Chapter 5. Organ Protection for High-Risk Percutaneous Coronary Intervention with Support of Veno-Arterial Extracorporeal Membrane Oxygenation
Roman Kornelyuk, Vladimir Ganyukov, Dmitry Shukevich, Eugeny Grigoriev and Ivan Vereshchagin

Chapter 6. Refractory Hypoxemia on VenoVenous ECMO
Omar Al-Qudsi

Chapter 7. Left Ventricular Unloading in Peripheral Veno-Arterial Extracoporeal Membrane Oxygenation
Mehul Desai, Erik Osborn, Jim Lantry, Alexander G. Truesdell, Chris King, Behnam Tehrani, Wayne Batchelor, Dan Tang and Ramesh Singh

Chapter 8. Extracorporeal Membrane Oxygenation: To Eject or Not to Eject – That Is the Question
Mallory L. Hunt, Asad Usman, Christian Bermudez and Rita Carrie Karianna Milewski

Chapter 9. ECMO Complications
James Lantry III, Mehul Desai, Erik Osborn and Christopher King

Chapter 10. Monitoring Brain Injuries in Extracorporeal Membrane Oxygenation
Abdelaziz Farhat, Neel Shah, Poornima Pandiyan and Lakshmi Raman

Chapter 11. ECMO and End of Life Care
Matthew Libby, Todd Hultman, William M. Novick and Michael S Firstenberg

Chapter 12. Brain Death in Patients Supported by Extracorporeal Membrane Oxygenation
Allison Ferreira

Chapter 13. The Practice of Medicine and the Law
James M. Arrowood

Chapter 14. Biomaterials in Novel ECMO/ECLS Design: Oxygenator, Cannula and Pump
Serdar Gunaydin, Emre Kulahcioglu and Kevin McCusker

Chapter 15. Advanced Cardiac Surgery without ECMO
Fevzi Sarper Türker, Zeki Temiztürk, Davut Azboy and Mustafa Bilge Erdoğan

Chapter 16. Mechanical Ventilation during Veno-Venous
Extracorporeal Membrane Oxygenation (VV-ECMO) for Acute Respiratory Distress Syndrome (ARDS)
Mathew Lacey, Tarek Elshazly, Olivia Giddings and Rana Hejal

Chapter 17. Left Ventricular Venting During Veno-Arterial ECMO
David Drullinsky and Duc Thinh Pham

Chapter 18. Implications for Bedside Nurses Caring for the Critically Ill Patient Requiring ECMO
Ryan Szilagyi and Alex Botsch

About the Editor
Michael S Firstenberg


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