ECMO-Extracorporeal Life Support in Adults

Abstract

PART I History and Technical Aspects.- History of extracorporeal life support.- Developing a new ECMO program.- Basic Aspects of Physiology during ECMO Support.- Percutaneous cannulation: indication, technique and complications.- Surgical cannulation: indication, technique and complications.- Materials: cannulas, pumps, oxygenators.- Coagulation, anticoagulation and inflammatory response.- PART II ECMO for circulatory support.- Extracorporeal life support: interactions with normal circulation.- ECMO for ischemic cardiogenic shock.- ECMO for refractory cardiac arrest.- ECMO for post-cardiotomic shock.- ECMO in myocarditis and rare cardiomyopathies.- ECMO for high-risk procedures.- ECMO for severe accidental hypothermia.- ECMO for intoxications.- Newer indications for ECMO: Pulmonary embolism, pulmonary hypertension, septic shock and trauma.- Left ventricular rest and unloading during VA ECMO.- Weaning from extracorporeal circulatory support.- Treatment options for end-stage cardiac failure.- PART III ECMO for respiratory support.- Contemporary ARDS management.- Respiratory monitoring during VA-ECMO.- Structure of an ECMO network for respiratory support.- ECMO and thoracic surgery.- ECMO in the awake/extubated patient.- ECMO as a bridge to lung transplant.- Low-flow ECMO and CO2 removal.- Weaning from VV ECMO.- PART IV ECMO for organ procurement.- Heart beating and non-heart beating donors.- Lung reconditioning.- PART V Monitoring the ECMO patient.- Patient care during ECMO.- Echocardiography in VA and VV ECMO.- Hemodynamic monitoring.- Respiratory monitoring during VA-ECMO.- Neurological monitoring during ECMO.- Monitoring the ECMO patient: the extracorporeal circuit.- PART VI Complications of ECMO.- Complications of extracorporeal support and their management.- Troubleshooting common and less common problems.- PART VII Transport of the ECMO patient.- Fixed-wing and helicopter.- Ambulance.- PART VIII Conclusion.- Newer indications and challenges.