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Physiology of Extracorporeal Life Support (ECLS)
Pages 1-60
This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and pneumonia), ventilatory failure (status asthmaticus and COPD), cardiogenic shock and circulatory or gas exchange failure following complications in cardiothoracic surgery, as well as its use as a bridge to lung transplant. Historically, clinicians have used ECLS as a last resort; however, this text details the technological improvements, evidence of improved outcomes and adverse consequences of alternative treatments that are causing this modality to be more commonly adopted. Topics include a description of the complex physiology and technology underlying ECLS; the evidence base for its use in specific clinical conditions; vascular access techniques; daily management of the circuit and patient; guidance regarding the weaning and decannulation process and recommendations for crisis management and rehabilitation related to ECLS. Extracorporeal Life Support for Adults is ideal reading for practicing physicians, nurses, perfusion specialists, therapists and critical care trainees who are considering whether to refer their patients for ECLS or are already providing ECLS and are seeking a practical reference to best practices and updated information.
Physiology of Extracorporeal Life Support (ECLS)
Pages 1-60
Hypoxemic Respiratory Failure: Evidence, Indications, and Exclusions
Pages 61-72
Cardiogenic Shock: Evidence, Indications, and Exclusions
Pages 73-85
ECCO
Pages 87-103
ECLS as a Bridge to Lung Transplantation
Pages 105-115
Modes of ECLS
Pages 117-131
Vascular Access for ECLS
Pages 133-146
Circuits, Membranes, and Pumps
Pages 147-161
Ventilator Management During ECLS
Pages 163-180
Daily Care on ECLS
Pages 181-191
Crises During ECLS
Pages 193-210
Mobilization During ECLS
Pages 211-221
ECMO Weaning and Decannulation
Pages 223-232
The Story of ECLS: History and Future
Pages 233-260
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