This book explores the unique aspects involved in the management of ECMO patients such as physiopathology and indications, setting up the device, monitoring ECMO and the patient, troubleshooting, ethical aspects and rehabilitation. For the past eight years, management of acute heart failure and Acute Respiratory Distress Syndrome (ARDS) patients has been improved by the development of short-term assistance devices, with ECMO as a first line treatment. This highly informative book provides essential insights for ICU nurses at ECMO centers around the world, who face the substantial challenges involved in the management of ECMO patients. Above all, it meets their training needs with regard to bedside monitoring for these patients, which has become a major issue. The editors and contributors all serve at the La Pitié-Salpétrière ICU, France, which, in terms of the number of admissions and major publications produced, is one of the world"s leading authorities on ECMO.
I.Medical Aspects.- ECMO definition and principles.- Indications and physiopathology.- II.Nursing care.- Preparing the patient and the ECMO device.- Monitoring the ECMO.- Monitoring the patient preventing complications and accidents.- Mobilizing the patient.- Transport under ECMO.- Weaning process.- How to manage incidents.- Psychological approach of the patient and its family.- Training of nurses: initial and continuous education
|
|
|
|
1 ECMO: Definitions and Principles |
|
|
3 | (8) |
|
|
|
|
|
|
|
|
|
2 Indications and Physiopathology in Venoarterial ECMO |
|
|
11 | (14) |
|
|
|
3 Indications and Physiopathology in Venovenous ECMO on Severe Acute Respiratory Distress Syndrome |
|
|
25 | (14) |
|
|
|
|
|
|
4 Preparing the Patient and the ECMO Device |
|
|
39 | (6) |
|
|
|
|
|
|
|
|
|
|
|
45 | (26) |
|
|
|
6 Mobilizing the ECMO Patients in Everyday Care and Ambulation |
|
|
71 | (4) |
|
|
|
7 Mobilizing the ECMO Patients: Prone Positioning During Venovenous Extracorporeal Membrane Oxygenation (vvECMO) |
|
|
75 | (8) |
|
|
|
|
|
83 | (10) |
|
|
|
|
|
|
|
|
|
9 Weaning Process from Venoarterial ECMO |
|
|
93 | (4) |
|
|
|
10 Weaning of Venovenous Extracorporeal Membrane Oxygenation |
|
|
97 | (4) |
|
|
|
11 Initial Training of Nurses |
|
|
101 | (8) |
|
|
|
12 Training of Nurses and Continuing Education in ECMO |
|
|
109 | |
|
|
|
|
|
|
Chirine Mossadegh has been a registered nurse for the past ten years in the ICU at La Pitié-Salpetrière Hospital in Paris, France. She has been a member of the organizing committee of the annual international congress for the French ICU society from 2010 to 2014.
She is the nurses program coordinator for the International Congress on ECMO and short term circulatory/respiratory support taking place every June in Paris for the past 5 years. Shes also teaching about nursing care and ECMO for the French university diploma on ECMO since its creation in 2012 and for the la Pitié Hospital International diploma in ECMO and short term respiratory/circulatory support since its creation in 2014.
Prof. Alain Combes is currently Professor of Critical Care Medicine at, Hôpital Pitié-Salpétrière, Université de Paris 6 since 2007.His interest research are: Care of patients with severe/refractory cardiac and/or respiratory failure, Paris ECMO center- VA ECMO, LVADs, heart transplantation for end-stage cardiac failure- VV ECMO, ECCO2R for severe respiratory failure Primary investigator of 3 multicenter international randomized trial:- EOLIA, to test the impact of early ECMO treatment in severe ARDS- HEROICS, to test high volume hemofiltration in patients with complicated heart surgery- SUPERNOVA, ECCO2R for moderate to severe ARDS He is a regular reviewer for the following journals : - American Journal of Respiratory and Critical Care Medicine, Circulation, JACC, Lancet respiratory, Critical Care Medicine, Chest, Cochrane library, Intensive Care Medicine, BMJ, Heart, Critical Care, Journal of Critical Care, Expert Opinion on Pharmacotherapy, La Presse Médicale. He has published 108 peer-reviewed articles.
Lisainfo e-raamatute kohta