The ECMO circuit
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…
Specifics of intensive care management for the patient on ECMO
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…
Cannulation and decannulation
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…
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…
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…
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…
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,…
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…
