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ECMO Retrieval Program Foundation de Anton Sabashnikov

ECMO Retrieval Program Foundation

Editat de Anton Sabashnikov, Thorsten Wahlers
en Limba Engleză Hardback – 8 mar 2023

În ultimii ani, practica medicală de urgență a asistat la o expansiune rapidă a utilizării oxigenării extracorporeale prin membrană, transformând ECMO dintr-o soluție de ultimă instanță într-un standard de îngrijire pentru insuficiențele cardio-respiratorii severe. Considerăm că această evoluție impune o tranziție de la utilizarea sporadică la programe structurate, capabile să asigure nu doar suportul tehnic, ci și transportul în siguranță al pacienților critici. ECMO Retrieval Program Foundation abordează exact această necesitate, oferind cadrul logistic și clinic pentru centrele care doresc să implementeze un serviciu de salvare de acest tip.

Subliniem că volumul nu se limitează la aspectele fiziopatologice, ci explorează profunzimea administrativă și strategică a unui program de „retrieval”. Structura este împărțită riguros între fundamentul științific și provocările practice ale lansării programului, de la „zero la hero”. Cititorii vor găsi informații esențiale despre strategiile de canulare și managementul ventriculului stâng, dar și detalii pragmatice despre negocierile cu furnizorii și evaluarea calității în unitățile de terapie intensivă. Clinicienii care folosesc ECMO-Extracorporeal Life Support in Adults ca referință generală vor găsi aici elementul care completează tabloul clinic: logistica transportului și managementul interdisciplinar necesar pentru a conecta spitalele periferice de centrele de expertiză. Față de abordarea bazată pe cazuri clinice din Extracorporeal Membrane Oxygenation de Marc O. Maybauer, lucrarea editată de Anton Sabashnikov și Thorsten Wahlers se concentrează pe arhitectura sistemului medical și pe crearea sinergiilor între cardiologi, pneumologi și chirurgi toracici.

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Specificații

ISBN-13: 9783031171482
ISBN-10: 3031171489
Pagini: 418
Ilustrații: XXIV, 418 p. 100 illus., 88 illus. in color.
Dimensiuni: 155 x 235 mm
Greutate: 0.86 kg
Ediția:2023
Editura: Springer International Publishing
Colecția Springer
Locul publicării:Cham, Switzerland

De ce să citești această carte

Această resursă este esențială pentru echipele medicale care doresc să formalizeze un serviciu de transport sub ECMO. Dincolo de tehnică, cititorul câștigă o înțelegere clară a costurilor, a negocierilor necesare și a structurii de personal. Este un ghid strategic pentru medici șefi de secție și specialiști în terapie intensivă care vor să reducă discrepanța dintre teorie și realitatea clinică a transferului pacienților critici.

Despre autor

Anton Sabashnikov și Thorsten Wahlers sunt experți recunoscuți în chirurgie cardio-toracică și managementul suportului vital extracorporeal. Anton Sabashnikov activează în cadrul unor centre de excelență unde a coordonat numeroase proceduri de canulare și transport sub ECMO, publicând extensiv despre rezultatele clinice în insuficiența cardiacă avansată. Thorsten Wahlers este un lider de opinie în domeniul chirurgiei cardiovasculare, contribuind semnificativ la dezvoltarea protocoalelor moderne de terapie intensivă chirurgicală. Experiența lor cumulată în centre universitare de prestigiu fundamentează abordarea pragmatică și interdisciplinară a volumului.

Descriere scurtă

This book should represent a guideline for launching an extracorporeal membrane oxygenation (ECMO) program. It describes in detail particularities and special features of planning, setting up, developing, structuring and maintaining of ECMO support program for instable patients with the need of transportation from peripheral hospitals to an experienced ECMO centre for further treatment.
Authors have condensed both the current evidence and Guidelines on ECMO and eCPR support and have highlighted in detail the issue of planning, setting up, developing, structuring and maintaining this program with the view to helping other centres launching this life-saving service taking into account their experience in this important field of medicine. In this context, the main benefit of this book is the outstanding and particular aim to educate the reader in developing and maintaining a large-spectrum ECMO program. 
The volume, richly illustrated and written by KOLs using an expository writing style to promote the readability will appeal to intensivists, anesthesiologists and cardiologists as well as cardiac- and thoracic-surgeons and pneumologists

Cuprins

Part 1. Scientific, technical and clinical background of extracorporeal membrane oxygenation (ECMO) therapy.- 1. History of Extracorporeal Life Support: From cardio-pulmonary bypass towards ECMO.- 2. Variety and classification of ECMO systems and cannulation strategies.- 3. Is it time to move on? Discrepancies between official Guidelines and real life clinical scenarios.- 4. Left Ventricular (LV) Decompressing and Venting Strategies – The Game Changers in ECMO Support.- 5. ECMOlogy as the new medical discipline – the way towards interdisciplinary approach of ECMO therapy.- Part 2. From zero to hero: matters and challenges of launching an ECMO retrieval program.- 6. Teamwork makes the dream work: creating interdisciplinary synergies among cardiothoracic surgery, cardiology, pulmonology and anaesthesiology.- 7. Financial aspects and negotiations with manufacturers.- 8. Add-on Modules, Quality Assessment Issues and Specific Arrangements inIntensive Care Units (ICU) Sector: Demand of Infrastructure and Staff.- 9. Brainstorming: personnel education and planning stage of the service.- 10. Assign the Parts: Aspects of ECMO Team Building.- 11. Check Lists, Retrieval Protocols and Internal Guidelines.- 12. As little as possible and as much as necessary: supplementary equipment and “ECMO suitcase” for retrieval service.- 13. Do you really need an ECMO coordinator? Strategies to optimize communication.- 14. Round-the-clock operation: trips and tricks to help achieve flexibility and realizability.- Part 3. Specifics of the propaganda machine: how to get referrals and what is the best way to draw attention to the program.- 15. Professional web presence as an indispensible module of the current information dissemination.- 16. Are printed media still holding their own against the electronic competition?.- 17. Show your face: personal introduction and direct communication with referringcolleagues.- 18. Meet the experts: scientific exchange and academic performance through symposiums and peer reviewed publications.- 19. Make you global debut: benefits of joining Extracorporeal Life Support Organization (ELSO).- Part 4. From start to finish: chronological order and safety aspects of ECMO retrievals from local hospitals.- 20. Time is life: optimization of packing up the equipment and organizing outward journey.- 21. On the road: fast and safe transport of the team and equipment.- 22. On-the-spot check: clinical assessment and decision making.- 23. Pearls and pitfalls in ECMO cannulation: practical tips to minimize complications.- 24. Save the leg: game plans for ensuring distal limb perfusion.- 25. Initial management of transported patients after arrival on ICU.- 26. Ins and outs of extracorporeal cardio-pulmonary resuscitation (eCPR) service.- Part 5. Pushing the boundaries: managing out-of-hospital cardiac arrest.- 27. Out-of-hospital cardiac arrest – Achilles’ heel in cardiovascular medicine.- 28. In- or out-of-hospital ECMO implantation? Impact of infrastructure, logistic conditions and legal circumstances.- Part 6. Miscellaneous.- 29. Ethical considerations.- 30. From the view of a patient and next of kin.- 31. Future perspectives.
 

Notă biografică

Anton Sabashnikov, born 1983, received his medical degree from the Medical Faculty of the University of Duisburg-Essen. He completed his Cardiothoracic Surgery Residency at the Department of Cardiac Surgery, Intensive care Medicine and Thoracic Surgery of the University Hospital of Cologne, Germany, and at the Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, United Kingdom. In 2014, Anton Sabashnikov introduced and developed the ECMO retrieval program at the University Hospital of Cologne and became a Co-Director of this division with membership of Extracorporeal Life Support Organization (ELSO). Furthermore, Anton Sabashnikov has been in charge of the Sector of Cardiothoracic Transplantation and Mechanical Circulatory Support at the University Hospital of Cologne. In 2016, Anton Sabashnikov became Associate Professor and Senior Lecturer in his filed of expertise being responsible for student education and state examinations.
Being responsible for therapy of critically ill heart and lung failure patients with extracorporeal life support, Anton Sabashnikov serves as the fellow of the interdisciplinary working group on shock of the German Interdisciplinary Society of Intensive and Emergency Medicine. The main focus of his clinical and experimental research and expertise is in the field of cardiothoracic transplantation and mechanical circulatory support that also resulted in over 200 publications in peer-reviewed journals and over 60 contributions to international conferences. Anton Sabashnikov is also one of the founders and board members of the international scientific society Integrated Meta-analysis on Cardiac Surgery and Cardiology (IMCSC) group. He has reviewed over 250 papers for over 30 journals.
 
Thorsten Wahlers, born 1958, is a University Professor and the Director of the Heart Center for Cardiovascular and Thoracic Surgery, University Hospital of Cologne, Germany.
After studying medicine in Bonn, Düsseldorf and Cologne, Professor Wahlers received his doctorate from the University of Cologne. He started his surgical career 1983 at Hannover Medical School with Professor Hans Borst and became a senior cardiothoracic and vascular surgeon in 1991 at the University of Hanover. In 1986/87 he worked in Harefield, United Kingdom, with Professor Magdi Yacoub. He was first appointed Professor in 1996 at Hannover Medical School. In 1999 he became University Professor and Chief of Cardiothoracic and Vascular Surgery at the Friedrich Schiller University in Jena.  In November 2005, he took over the Department of Cardiac and Thoracic Surgery at the University Hospital Cologne.
Professor Wahlers specialities include complex bypass surgery, minimally invasive valve surgery including all catheter-interventional procedures, aortic aneurysm and dissection surgery, ECMO and ECLS therapy, cardiac assistance devices, heart and lung transplants, as well as thoracic surgery.
He received numerous prices, published more than 580 papers in national and international journals and is serving as reviewer for more than 25 journals. Many of his scholars have reached leading positions in university and academic hospitals.
Thorsten Wahlers is a member of numerous national (DGTHG, DGK) and international associations (EACTS, STS, AATS). He is also a consultant for the German Society for Thoracic, Cardiovascular Surgery, the International Society for Heart and Lung Transplantation, the Federal Ministry of Health and the German Research Foundation.

Caracteristici

Represents a guideline for launching an ECMO transport program incl. in- and out-of-hospital cardiac arrest modules Richly illustrated including tabular and schematical material with the objective of promotion greater readability Expository writing style with the view to providing max clinical and scientific value and stimulate interest in reading