Read more
This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and pneumonia), ventilatory failure (status asthmaticus and COPD), cardiogenic shock and circulatory or gas exchange failure following complications in cardiothoracic surgery, as well as its use as a bridge to lung transplant. Historically, clinicians have used ECLS as a last resort; however, this text details the technological improvements, evidence of improved outcomes and adverse consequences of alternative treatments that are causing this modality to be more commonly adopted. Topics include a description of the complex physiology and technology underlying ECLS; the evidence base for its use in specific clinical conditions; vascular access techniques; daily management of the circuit and patient; guidance regarding the weaning and decannulation process and recommendations for crisis management and rehabilitation related to ECLS. Extracorporeal Life Support for Adults is ideal reading for practicing physicians, nurses, perfusion specialists, therapists and critical care trainees who are considering whether to refer their patients for ECLS or are already providing ECLS and are seeking a practical reference to best practices and updated information.
List of contents
Chapter 1. Physiology of Extracorporeal Life Support (ECLS)
Matthew J. Brain, Warwick W. Butt, Graeme MacLaren
Chapter 2. Hypoxemic Respiratory Failure: Evidence, Indications, Exclusions
Darryl Abrams, Matthew Bacchetta, Daniel Brodie
Chapter 3. Cardiogenic Shock: Evidence, Indications, Exclusions
Nicolas Bréchot, Alain Combes
Chapter 4. ECCO2R in Obstructive Diseases: Evidence, Indications, Exclusions
Lorenzo Del Sorbo, V. Marco Ranieri
Chapter 5. ECLS as a Bridge to Lung Transplantation
Christian Kuehn
Chapter 6. Modes of ECLS
L. Keith Scott, Benjamin Schmidt
Chapter 7. Vascular Access for ECLS
Steven A. Conrad
Chapter 8. Circuits, Membranes, and Pumps
Bradley H. Rosen
Chapter 9. Ventilator Management during ECLS
Antonio Pesenti, Giacomo Bellani, Giacomo Grasselli, Tommaso Mauri
Chapter 10. Daily Care on ECLS
Giles J. Peek
Chapter 11. Crises during ECLS
Cara L. Agerstrand, Linda B. Mongero, Darryl Abrams, Matthew Bacchetta, Daniel Brodie
Chapter 12. Mobilization during ECLS
Gregory A. Schmidt
Chapter 13. ECMO Weaning and Decannulation
Sundar Krishnan and Gregory A. Schmidt
Chapter 14. The Story of ECLS: History and Future
J. Ann Morris, Robert Pollock, Brittany A. Zwischenberger, Cherry Ballard-Croft, Joseph B. Zwischenberger
Report
"This multiauthored book describes applications of mechanical cardiopulmonary support in a variety of clinical conditions. ... Physicians using ECLS, personnel providing technical support such as nurses, perfusionists, and respiratory therapists, and senior trainees considering ECLS in their practices are an appropriate audience for this book ... . An excellent set of tables and illustrations have high didactic quality. ... summary of core physiology and available evidence for various applications of this technique. ... Providers using ECLS should have this book." (David J. Dries, Doody's Book Reviews, May, 2016)
