Society of thoracic surgeons predicted risk of mortality v.2.73 Additive EuroSCORE Logistic EuroSCORE EuroSCORE II Ambler Northern New England New York State Providence Health System Veterans Affairs Risk Score Age,…
Progressive LVH (which may be attended by fibrosis) leads to impaired LV compliance, resulting in diastolic dysfunction that eventually leads to elevated mean left atrial pressures. Moreover, as the disease…
Figure 3.1 Veno-venous ECMO circuit, with drainage from a cannula inserted in the femoral vein (tip in the inferior vena cava) and the return cannula inserted in the internal jugular…
Figure 12.1 Connection of the RRT machine to the ECMO circuit. The RRT circuit may need to be reconfigured slightly to take account of access and return vascular pressures, as…
Figure 6.1 A cannula entirely located in the fat in a patient for whom ultrasound was not used to locate the vessel. Surprisingly, the drainage from the haematoma was sufficient…
Figure 7.1 Clotting cascade. The relative inhibitory effect of heparin on various steps is indicated by highlighting, together with the relative position of factor Xa in the coagulation cascade. Heparin…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 15 ECMO registries and research ECMO is an extraordinary technique applied to a small number of patients. Registries are useful in these circumstances to ensure…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 14 ECMO to support organ donation Many patients listed for transplantation will die before receiving an organ or become too ill for transplantation. The donor…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 13 Extracorporeal carbon dioxide removal or ECCO2R Principles Extracorporeal CO2 removal (ECCO2R) provides support for patients with severe acute respiratory failure characterized by hypercapnia with…
Figure 4.1 Illustration of recirculation in a patient on veno-venous ECMO. The oxygenated blood returned to the patient is immediately aspirated by the ECMO circuit. Figure 4.2 In a system…
