Extracorporeal Membrane Oxygenation During Lung Transplantation PDF Download

Author: Young-Jae Cho
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages :

View

Book Description
Lung transplantation is increasing as a widely accepted surgical treatment for certain type of end-stage lung disease. Recent technical improvements in extracorporeal membrane oxygenation (ECMO) have been able to expand the role of ECMO during lung transplantation. The evolution of oxygenators, introduction of the new-type pump and tube, and improvement of percutaneous cannulation including dual lumen single catheter resulted in the technical renaissance of ECMO for lung transplantation. Now, beyond the traditional support for patients with severe primary graft dysfunction, ECMO can be established as essential perioperative roles for patients undergoing lung transplantation, such as preoperative lung protective support as a bridge to transplantation, replacement cardiopulmonary bypass during intraoperative support, and rescue of various life-threatening situations after post-transplant. After all, ECMO will be a fundamental, life-saving modality for patients during lung transplantation.

Author: Suresh Keshavamurthy
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 0

View

Book Description
Lung transplantation has become an increasingly important modality for the treatment of severe lung disease. From its inception, the procedure has been refined so that it now represents the standard of care for end stage respiratory failure. The widespread adoption of this treatment option, however, has brought into sharp relief the current organ donor shortage. In tandem with the explosion in lung transplant procedures, a number of support modalities have seen an expanded role. Perhaps one of the most versatile tools in the armamentarium of the pulmonary transplant surgeon is extracorporeal membrane oxygenation (ECMO). This powerful tool is being increasingly implemented in all stages of lung transplantation,Äîfrom supporting the failing native organ as a bridging tool to transplantation, to stabilizing the patient intra-operatively during the transplant procedure, to rescuing the patient with severe primary graft dysfunction immediately post-transplant. A number of advanced techniques for the application of ECMO in order to optimize the pulmonary transplant procedure are gaining traction,Äîand with ECMO,Äôs expanded role in lung transplantation, so also has come a new set of technical and ethical challenges that must also be overcome.

Author: Michael S. Firstenberg
Publisher: BoD – Books on Demand
ISBN: 9535125524
Category : Medical
Languages : en
Pages : 396

View

Book Description
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.

Author: Michael S. Firstenberg
Publisher: BoD – Books on Demand
ISBN: 1789239230
Category : Medical
Languages : en
Pages : 244

View

Book Description
Extracorporeal membrane oxygenation is an effective tool for managing patients with severe acute cardiogenic shock and/or respiratory failure. With emphasis on teamwork and adherence to guidelines, protocols, and objective tools to assist in patient selection, management, and weaning, outcomes have improved. Nevertheless, every aspect of supporting patients who require extracorporeal support remains a challenge - with many unanswered questions. The goal of this text, as a supplement to the previous editions on this rapidly evolving topic, is to provide the reader with a more in-depth review of some of the ongoing issues in this field. Topics ranging from administrative aspects to developing a program, nursing issues, ethical concerns, and a variety of clinical topics are discussed at length.

Author: Marc O. Maybauer
Publisher: Oxford University Press
ISBN: 0197521304
Category : Medical
Languages : en
Pages : 689

View

Book Description
"Extracorporeal Membrane Oxygenation : An Interdisciplinary Problem-Based Learning Approach" provides an overview of the latest techniques, management strategies, and technology surrounding the clinical use of ECMO. ECMO is a miniaturized heart-lung-machine that can be used to support patients with either acute respiratory and/or cardiocirculatory failure in numerous scenarios and can be a bridge to either heart or lung transplantation. This book focuseson educating clinicians about this complex but life-saving technology.

Author: Kamen Valchanov
Publisher: Cambridge University Press
ISBN: 1108665675
Category : Medical
Languages : en
Pages : 541

View

Book Description
Most patients with critical cardiac or thoracic conditions will at some stage pass through the cardiothoracic critical care unit. Critical care presents more complex clinical data than any other area of medicine. The new edition of Core Topics in Cardiothoracic Critical Care focuses on the latest practise in the management of patients in cardiothoracic intensive care. The practice of cardiothoracic critical care medicine is constantly evolving, and this new edition reflects the modernized learning styles for trainees. Each chapter includes key learning points as well as sample multiple choice questions and answers to assist in exam preparation. This edition also features updated chapters on ECMO, perioperative management of patients undergoing emergency cardiothoracic surgery, and advanced modes of organ support for patients. This text provides key knowledge in a concise and accessible manner for trainees, clinicians and consultants from specialities and disciplines such as cardiology and anaesthesia, and nursing and physiotherapy.

Author: Poonam Malhotra Kapoor
Publisher: JP Medical Ltd
ISBN: 9350906333
Category : Medical
Languages : en
Pages : 396

View

Book Description
Extracorporeal Membrane Oxygenation (ECMO) is a procedure that uses a machine to take over the work of the lungs and sometimes the heart. The system provides heart-lung bypass support using a pump to circulate blood through an artificial lung back into the bloodstream, providing enough oxygen to the patient, whilst allowing time for the lungs and heart to rest or heal during or after serious illness. ECMO is often used for babies, but can also be used for children and adults (Medline Plus). The techniques for ECMO require professionals from multidisciplinary background to be involved in the procedure. This practical manual is a comprehensive guide to ECMO. Divided into eleven sections, the book begins with an introduction to the procedure and equipment. The following sections provide step by step discussion on initiation, maintenance of support and monitoring, and techniques of ECMO for different case scenarios. The final sections present multiple choice questions for self assessment and extensive appendices. Key points Comprehensive guide to Extracorporeal Membrane Oxygenation (ECMO) Highly relevant for intensivists, anaesthesiologists, surgeons, paediatricians and cardiologists Includes section of multiple choice questions for self assessment More than 186 full colour images and illustrations

Author: Cait P. Searl
Publisher: Cambridge University Press
ISBN: 0521867126
Category : Medical
Languages : en
Pages : 230

View

Book Description
An accessible source of information about the current spectrum of anesthesia and critical care management of patients undergoing thoracic surgery.

Author: Wickii Vigneswaran
Publisher: CRC Press
ISBN: 042958640X
Category : Medical
Languages : en
Pages : 717

View

Book Description
Lung Transplantation: Principles and Practice covers the current practice in donor and recipient management as well as current treatment strategies and outcomes. With 39 chapters from international experts in the field, the book is divided into four broad sections: General Topics, Donor Management, Recipient Management and Outcome, and the Future o

Author: Maria M Crespo
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 0

View

Book Description
Extracorporeal membrane oxygenation (ECMO) has clear benefits in patients with acute cardiopulmonary failure. However, selecting patients who will benefit from extracorporeal membrane oxygenation can be a challenge and remains a hurdle for clinicians today. An increased concern when considering ECMO therapy is whether the patient will recover enough function and be able to be weaned from ECMO support and survive to discharge or undergo lung transplantation and specially on whether to extend extracorporeal membrane oxygenation as a bridge to recovery in those with concerns of a meaningful recovery or as a bridge-to-decision (BTD) for patients whose criteria for lung transplantation are unknown. In addition, ECMO is a resource-intensive form of lung support that requires significant institutional commitment and a well-trained team to ensure good outcomes. The critical factors in the decision-making process when there are concerns regarding the initiation, continuation, or withdrawal of ECMO include early transfer to a specialized lung transplant center and a multidisciplinary consensus among lung transplant pulmonologists, lung transplant surgeons, and ECMO critical care intensivists to expedited transplant evaluation and to clearly defined the goals of care and selecting the appropriate candidates who will benefit from ECMO as a BTD for patients not listed yet for lung transplantation.