Anesthesia Key

Let’s now continue our exploration of the fundamentals of extracorporeal membrane ­oxygenation (ECMO) support by discussing cannulation configurations. To remind ourselves, the basic ­function of the ECMO circuit is to…

We are now going to continue our journey by exploring the physiology of extracorporeal membrane oxygenation (ECMO) support. You may find the chapters to follow to be the cornerstone of…

Now that we have a little more foundation, let’s return to our circuit, and dive a little deeper into the circuit components that you may come across and how you…

In this chapter, we tackle one of the most sobering and important topics related to extracorporeal membrane oxygenation (ECMO) – selection of patients for ECMO. In doing so, we are…

Let’s start our discussion of the fundamentals of extracorporeal membrane oxygenation (ECMO) by returning to our graph. We have spent the last few chapters developing and unpacking the simple but…

Imagine that you walk into a typical intensive care unit (ICU). You look around and note what you see: in one room a 78-year-old man with urosepsis and septic shock,…

By now, I wouldn’t be surprised if you were asking yourself, “I thought this was a book about ECMO?” Why are we talking about hemoglobin dissociation, shock recognition, shunt physiology,…

What is meant by shock? Let’s return to our two intensive care unit (ICU) patients. Patient A: BP 100/40, HR 114, UOP < 10 mL Patient B: BP 80/40, HR…

Hopefully by now we are starting to develop a healthy appreciation for oxygen delivery – why it is so important, how it can be augmented, and the limitations that exist….

Now we are going to bring our discussion of shock to the next level and start to explore some patterns that can help us with recognition of shock. Remember, if…