Nursing Care and ECMO

1. Front Matter

   Pages i-viii

   PDF

2. Medical Aspects

   1. Front Matter

      Pages 1-1

      PDF

   2. ECMO: Definitions and Principles

      • Charles-Henri David, Alicia Mirabel, Anne-Clémence Jehanno, Guillaume Lebreton

      Pages 3-10

   3. Indications and Physiopathology in Venoarterial ECMO

      • Nicolas Brechot

      Pages 11-23

   4. Indications and Physiopathology in Venovenous ECMO on Severe Acute Respiratory Distress Syndrome

      • Matthieu Schmidt

      Pages 25-35

3. Nursing Care

   1. Front Matter

      Pages 37-37

      PDF

   2. Preparing the Patient and the ECMO Device

      • Alicia Mirabel, Anne-Clémence Jehanno, Charles-Henri David, Guillaume Lebreton

      Pages 39-44

   3. Monitoring the ECMO

      • Chirine Mossadegh

      Pages 45-70

   4. Mobilizing the ECMO Patients in Everyday Care and Ambulation

      • Chirine Mossadegh

      Pages 71-73

   5. Mobilizing the ECMO Patients: Prone Positioning During Venovenous Extracorporeal Membrane Oxygenation (vvECMO)

      • Sabine Valera

      Pages 75-82

   6. Transport Under ECMO

      • Anne-Clémence Jehanno, Charles-Henri David, Alicia Mirabel, Guillaume Lebreton

      Pages 83-91

   7. Weaning Process from Venoarterial ECMO

      • Nicolas Brechot

      Pages 93-95

   8. Weaning of Venovenous Extracorporeal Membrane Oxygenation

      • Matthieu Schmidt

      Pages 97-100

   9. Initial Training of Nurses

      • Jo Anne Fowles

      Pages 101-107

   10. Training of Nurses and Continuing Education in ECMO

       • Marc A. Priest, Chris Beaty, Mark Ogino

       Pages 109-125

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 most of the contributors serve at 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.

• Acute Respiratory Distress Syndrome (ARDS)
• Cardiogenic shock
• Extracorporeal Membrane Oxygenation (ECMO)
• Intensive Care Unit (ICU)
• Nursing care

• Service de réanimation médicale, Groupe Hospitalier Pitié Salpétrière, Paris cedex 13, France

  Chirine Mossadegh, Alain Combes

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 nurse’s 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. She’s 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.

Policies and ethics