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ECMO (extracorporeal membrane oxygenation) is a crucial form of support for patients with respiratory failure, severe ARDS, COVID-19, and cardiogenic shock whose use has been increasing exponentially around the world. The ECMO Book offers a comprehensive yet approachable framework for understanding the principles of extracorporeal support as well as the subtleties related to the care of patients needing ECMO. Dr. Jeffrey DellaVolpe provides authoritative, consistent guidance on all aspects of ECMO, making complex information understandable and accessible and helping you increase your knowledge of and proficiency with this multifaceted therapy. Establishes the context of ECMO in the care of critically ill patients (patient selection, indications, contraindications), progressing from basic science information through advanced ECMO concepts. Explores physiologic fundamentals and builds on these concepts by applying them to extracorporeal support, equipping you with a sound framework for how those principles can be applied in the day-to-day management of patients with severe cardiac and respiratory failure. Covers key topics such as blood flow titration, sweep gas titration, ventilator management on ECMO, and anticoagulation and bleeding management. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.
List of contents
PART I PHYSIOLOGY1 Oxygen Delivery and Consumption
2 Shock
3 Recognition of Shock
4 Hypoxia
5 The Failure of DO2 - Did What I Do to the Patient Just Work?
PART II ECMO FUNDAMENTALS6 Introduction to ECMO Fundamentals
7 Indications and Selection of Patients for ECMO
8 ECMO Configurations
9 Components, Sensors, and Circuit Access
PART III ECMO PHYSIOLOGY10 Blood Flow Dynamics
11 Membrane Characteristics
12 Veno-Venous ECMO Physiology
13 Veno-Arterial ECMO Physiology
14 Physiology of Retrograde Flow
15 Central Veno-Arterial ECMO Physiology
PART IV ECMO MANAGEMENT16 Introduction to ECMO Management Principles
17 Blood Flow Titration
18 Sweep Gas Flow Titration
19 Ventilator Management on ECMO
20 Anticoagulation and Bleeding Management
21 Pharmacokinetics
Index
About the author
Dr. Dellavolpe serves as the Medical Director of the Adult ECMO Program at Methodist Hospital, San Antonio, Texas. He is also the Medical Director of the Cardiovascular Intensive Care Unit at Methodist Healthcare System and the Texas IPS Critical Care Service Line. He serves as chair of the Joint Society of Critical Care Medicine/Extracorporeal Life Support Organization Task Force.
