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020 _a9783031052996
024 7 _a10.1007/978-3-031-05299-6
_2doi
040 _aTR-AnTOB
_beng
_erda
_cTR-AnTOB
041 _aeng
060 _aWG 168.5
072 7 _aMJL
_2bicssc
072 7 _aMED079000
_2bisacsh
072 7 _aMJL
_2thema
096 _aWG168.5EBK
245 1 0 _aExtracorporeal Membrane Oxygenation for Adults
_h[electronic resource] /
_cedited by Gregory A. Schmidt.
250 _a2nd ed. 2022.
264 1 _aCham :
_bSpringer International Publishing :
_bImprint: Humana,
_c2022.
300 _a1 online resource
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
490 1 _aRespiratory Medicine,
_x2197-7380
505 0 _aPhysiology of Extracorporeal Life Support (ECLS) -- Circuits, Membranes, and Pumps -- Modes of ECMO -- Vascular Access -- Hypoxemic Respiratory Failure: Evidence, Indications, Exclusions -- Ventilator management during ECLS -- Managing the Systemic Circulation: Volume Status and RV Function -- Antithrombotic therapy for ECMO -- Membrane Dysfunction -- ECCO2R in Obstructive Diseases: Evidence, Indications, Exclusions -- ECMO as a bridge to lung transplantation -- Daily management of patients on VV ECMO -- Crises During ECLS -- Mobilization During ECLS -- ECMO Weaning and Decannulation -- Veno-arterial ECMO in respiratory failure -- Ethical Challenges in Extracorporeal Membrane Oxygenation.
520 _aThis 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.
650 0 _aRespiratory organs
_xDiseases.
650 0 _aCritical care medicine.
650 1 4 _aPneumology.
650 2 4 _aIntensive Care Medicine.
653 0 _aExtracorporeal Membrane Oxygenation
653 0 _aLife Support Care
653 0 _aRespiration, Artificial
653 0 _aAdult
700 1 _aSchmidt, Gregory A.
_eeditor.
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
710 2 _aSpringerLink (Online service)
830 0 _aRespiratory Medicine,
_x2197-7380
856 4 0 _uhttps://doi.org/10.1007/978-3-031-05299-6
_3Springer eBooks
_zOnline access link to the resource
942 _2NLM
_cEBK