This book covers up-to-date knowledge of extracorporeal life support/ membrane oxygenation (ECLS/ECMO), which is performed as one special procedure that takes over the work of the lungs when they are too sick to properly support the body. ECLS has been recognized as one primary rescue strategy when the conventional treatments cannot reverse the process of cardiac dysfunction or respiratory dysfunction. During the recent years, ECLS has also been utilized as the bridge during peioperative organ transplantation, emergency cardiopulmonary resuscitation, and chronic assistant devices such as left ventricular assist device.

This book summarizes the major characteristics of technique, current status of implication and topics of development. Physiology and mechanism of ECLS is defined in the initial part of the book. Type and primary characteristics of ECLS, including instrument materials and monitoring methods are further introduced. Methods of cannulation, characteristics of patients and key-point of management during pediatric ECLS are included. ECLS has been recognized as one kind of novel CPR procedures, transport of ECLS, treatment of various complications with preventive strategy are demonstrated. Recent hot topics of ECLS and training perspective are also discussed.

Extracorporeal life support (ECLS), which is previously named as “extracorporeal membrane oxygenation” (ECMO) by many practitioners, has emerged to describe the entire family of extracorporeal support modalities for long-term support and has been popularized widely and applied in various fields since the twenty-first century. The ECLS member units reported by Extracorporeal Life Support Organization (ELSO) Annual Reports have also increased year by year. In particular, the outbreak of SARS and COVID-19 has praised ECLS as a “magic tool” to control the epidemic. However, the clinical outcomes of patients using ECLS have not improved substantially in the past few decades. This has a lot to do with the type of basic primary diseases of patients, but it is also directly related to the timing of assistance, the selection of ECLS methods, the screening of implantation sites, the reasonable management during ECLS, prevention of various complications, and the timely removal of ECLS.

In the past, most practitioners engaged in ECLS refer to The ELSO red book for management of ECLS. Many pilots of ECLS have propagated and promoted the professional development of ECLS with establishment and update of the ELSO database, compilation of ELSO red book, introduction of recommendations or guidelines. However, the emergence of new ECLS consumables, especially the emergence of new ECLS indications and the adapted population, requires professionals to reassess ECLS. Many clinical problems still need specific practitioners to report and communicate information with them, rather than covering up some iatrogenic errors and decision-making bias. With the continuous progress of other medical specialties, many patients and their relatives have higher requirements and expectations for such patients, urging us to re-examine the protocol of treatment, therapeutic strategies, and treatment concept of such critically ill patients. The development of multidisciplinary consultations helps to optimize the adjustment of treatment during ECLS. Therefore, we have organized domestic and some foreign experts to update the relevant content of this field. We hope that the publication of this work can provide the basic theoretical model of ECLS for front-line practitioners, and certain reference for the treatment of critically ill patients.

Although all our three chief editors are from China and English is not our native language, the current world is a diversified world, and the geographical boundaries cannot block the communication and cooperation of such professionals. We hope that this work can become a form of academic exchange in ECLS.

Title: Extracorporeal life support

Author: Feilong Hei, Yulong Guan, Kun Yu

Publisher: Springer

Year: 2023

Edition: – Edition

Language: English

Pages: 185

Ebook: PDF

File size: 11 MB

ISBN Number: 9811992746, 9789811992742

CBID: CBM342