Weaning from VV ECMO
Fig. 27.1 Example of daily ventilatory management in an ARDS patient. Main parameters of ventilator and ECMO setting, gas exchange, and hemodynamics are shown day by day. As soon as…
Treatment Options for End-Stage Cardiac Failure
INTERMACS profile Short description 1 Critical cardiogenic shock 2 Progressive decline on inotropes 3 Stable, but inotrope dependent 4 Symptoms at rest; home on oral therapy 5 Exertion intolerant 6…
Percutaneous Cannulation: Indication, Technique, and Complications
Fig. 4.1 Historical picture of a handmade double-lumen coaxial catheter for institution of an inferior vena cava-inferior vena cava bypass through a single surgical cutdown In the 90s, with the…
Left Ventricular Rest and Unloading During VA ECMO
Fig. 17.1 Transpulmonary venting Hemodynamics showed a decrease in the PA and LA pressures. At the time of weaning, the cannula was withdrawn to the superior vena cava and subsequently…
Newer Indications for ECMO: Pulmonary Embolism, Pulmonary Hypertension, Septic Shock and Trauma
12. Kolvekar SK, Peek GJ, Sosnowski AW, Firmin RK (1997) Extracorporeal membrane oxygenation for pulmonary embolism. Ann Thorac Surg 64:883–884PubMed 13. Kawahito K, Murata S, Ino T, Fuse K (1998)…
ECMO in Drug Intoxication
Fabio Sangalli, Nicolò Patroniti and Antonio Pesenti (eds.)ECMO-Extracorporeal Life Support in Adults201410.1007/978-88-470-5427-1_15 © Springer-Verlag Italia 2014 15. ECMO in Drug Intoxication Piergiorgio Bruno1 , Piero Farina1 and Massimo Massetti1 (1) Cardiac Surgery, Universitary Polyclinic “A. Gemelli” – Catholic University, Rome,…
ECMO for Severe Accidental Hypothermia
Fig. 14.1 Indications for ECMO support in severe accidental hypothermia ECMO is available in only a few specialized centers. Many cases of accidental hypothermia, however, occur in remote areas, and…
ECMO for High-Risk Procedures
Fig. 13.1 Percutaneous femoral cannulation with Preclose technique using PerClose Proglide vascular closure device (Abbott Vascular, Redwood City, CA, USA) The main disadvantage of ECMO over full cardiopulmonary bypass is…
ECMO in Myocarditis and Rare Cardiomyopathies
Infectious causes Tests and clues Viral Adenovirus, Coxsackie A and B, echoviruses, parvovirus B19, influenza A and B, herpes simplex, Epstein-Barr, cytomegalovirus, varicella zoster, respiratory syncytial virus, HIV, hepatitis B…
ECMO for Postcardiotomic Shock
18. Seib PM, Faulkner SC, Erickson CC et al (1999) Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter…
