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Extracorporeal Membrane Oxygenation - Types, Medical Uses and Complications (Hardcover)
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Extracorporeal Membrane Oxygenation - Types, Medical Uses and Complications (Hardcover)
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Extra-corporeal membrane oxygenation (ECMO) is an innovative
therapy that is used to support the physiologic needs of a patient
during illnesses associated with acute severe respiratory and/or
cardiac failure. ECMO is used in those life-threatening situations
in which the oxygenation, ventilation, and circulatory support
needs of the patient cannot be adequately maintained with a maximal
conventional ventilator or pharmaceutical support. Essentially,
ECMO is a simple pump circuit that can be used to support the role
of failing lungs or hearts while therapies are aimed at organ
recovery. While simple in concept and theory, this text illustrates
the complexities associated with clinical use. The use of ECMO has
evolved substantially overall the years-in part due to broader and
growing applications, a better understanding of the technologies
and how they can be used (especially in the context of long-term
human-ECMO circuit interactions), objective tools for patient
selection, management protocols, and, most importantly, a growing
body of evidence-based science and literature that demonstrates the
effectiveness of this highly invasive, resource-intensive, and
complex tool. The goal of this text is to draw from established
thought leaders and experts around the world and present a
comprehensive review of the rapidly-evolving and expanding
literature regarding the spectrum of applications for ECMO. While
by no means is this implied to be the final and exhaustive text on
this topic, it does aim to be as comprehensive and up-to-date as
possible which is, in itself, a challenge given how quickly this
field is evolving. This text is aimed at students and providers, at
all levels, who might have interest or be involved in the care of
these critically ill patients. Chapters focus on how programs can
be structured, the specific details of patient selection,
management, and expanding roles of ECMO. Both basic and
sophisticated concepts are presented with the goal that all may
learn. We also present an objective assessment of some of the
evolving challenges and limitations to ECMO in the context of the
increased utilization and expansion of this therapy, combined with
"sicker" patients, and the ongoing journey towards improved
outcomes while offering a salvage therapy to patients who might
otherwise die.
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