Titlebook: Extracorporeal Membrane Oxygenation for Adults; Gregory A. Schmidt Book 2022Latest edition The Editor(s) (if applicable) and The Author(s)

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Membrane Dysfunction,it exchange is a high-risk event without clear guidelines to direct management. Here we describe a comprehensive approach involving a combined assessment of the patient’s unique hematologic profile with technical components of gas transfer efficiency and membrane pressures in the evaluation of this

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Daily Management of Patients on VV ECMO,empts (ventilator and ECMO), mobilization, anticoagulation, and whether to use prone positioning. Emergency preparedness (backup ventilator settings, reserve circuit, who to call) is reviewed for accuracy. Finally, the goal of ECMO should be revisited: is recovery or transplant still realistic?

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ECMO Weaning and Decannulation,flected in increased arterial pulsatility, improved echocardiographic assessments, and reduced cardiac filling pressures. To wean off VA ECMO, flow is slowly decreased while hemodynamic and echocardiographic parameters are continuously monitored. If flow is to be interrupted prior to decannulation,

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Venoarterial ECMO in Respiratory Failure,to the aortic arch and permit better cerebral oxygenation. This chapter will review basic principles of VA ECMO, discuss relevant management paradigms for VA ECMO, and suggest how clinicians might choose between VV and VA ECMO for primary respiratory failure.

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Volker Diekert,Klaus-Jörn Lange. An international consensus (Maastricht) has established nomenclature to describe modes and facilitate communication. The various modes differ in physiology, complications, advantages, and implications for monitoring and weaning.

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Informatik für Ingenieure kompaktnula size and length is based on the flow requirements of the patient, flow capabilities of the cannula, and the desired location of the cannula tip. Ultrasound imaging permits assessment of vessel size, selection of an appropriately sized cannula, and guidance for insertion to reduce complications.

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https://doi.org/10.1007/978-3-322-84278-7tive needs, and speed liberation from ECMO. On the other hand, excessive patient effort, despite ECMO, may provoke asynchrony, amplify lung injury, and worsen outcomes. Assessing respiratory drive and effort (airway occlusion pressure, esophageal pressure) to fine-tune the interaction between ECMO a

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https://doi.org/10.1007/978-3-642-76677-0c shock, a transition from veno-venous extracorporeal membrane oxygenation (V-V ECMO) to veno-arterial extracorporeal membrane oxygenation (V-A ECMO) might be required. In those with clear signs of acute cardiac failure, the establishment of right ventricular support might be essential right at the

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