Coagulation, blood and ECMO
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…
RESPIRATORY
ECMO registries and research
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…
ECMO to support organ donation
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…
Extracorporeal carbon dioxide removal or ECCO2R
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…
Liberation from ECMO
Figure 11.1 A veno-venous ECMO weaning algorithm. Example of an algorithm used by staff at the bedside to decrease the level of ventilatory support in patients on veno-venous ECMO. RR,…
Monitoring the patient on ECMO
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…
Patient transfer
Figure 10.1 A transfer trolley modified to include ECMO consoles. Appropriate mattresses are required in patients with a high risk of skin damage. Replacement equipment is required in case of…
Management of the patient on veno-arterial ECMO: general principles
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 9 Management of the patient on veno-arterial ECMO: general principles Introduction Veno-arterial ECMO allows gas exchange and pumps blood from a vein to an artery….
A brief history of ECMO
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 1 A brief history of ECMO Starting point Extracorporeal membrane oxygenation (ECMO) support is a form of extracorporeal life support. ECMO is not a treatment…
An ECMO service
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 2 An ECMO service Staffing An ECMO service is entirely dependent on its people. The team is organized to provide a continuous service, 24 h a…
