Nursing Care and ECMO
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 year
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Nursing Care and ECMO
Chirine Mossadegh • Alain Combes Editors
Nursing Care and ECMO
Editors Chirine Mossadegh Service de réanimation médicale Groupe Hospitalier Pitié Salpétrière Paris cedex 13 France
Alain Combes Service de réanimation médicale Groupe hospitalier Pitié Salpétrière Paris cedex 13 France
ISBN 978-3-319-20100-9 ISBN 978-3-319-20101-6 (eBook) DOI 10.1007/978-3-319-20101-6 Library of Congress Control Number: 2017934336 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Extracorporeal membrane oxygenation (ECMO) is growing rapidly and is now considered in the treatment of all patients with severe respiratory or cardiac failure. Health-care workers of all disciplines are in need of a dedicated book that will help them through the management of these patients, explaining the principles of safe and successful practice. This book is especially focused on the unique aspects of nursing care of ECMO patients. It provides a comprehensive overview of the physiopathology and indications, setting up of the device, monitoring ECMO and the patient, troubleshooting, ethical aspects, and rehabilitation. Nurses, but also physiotherapists, perfusionists, and all other key members of the ECMO team, will find herein the basics required to better understand the technology and ultimate care of the patient. The future of this activity promises to be especially exciting. Paris, France
Alain Combes
v
Contents
Part I Medical Aspects 1 ECMO: Definitions and Principles������������������������������������������������������������ 3 Charles-Henri David, Alicia Mirabel, Anne-Clémence Jehanno, and Guillaume Lebreton 2 Indications and Physiopathology in Venoarterial ECMO������������������
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