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Extracorporeal membrane oxygenation (ECMO) is very quickly becoming a mainstream therapy for patients experiencing acute, severe, and often medically refractory cardiopulmonary failure. Over the years, the technology has improved and the guidelines, protocols, and indications for therapy have been refined. Similar to other "resource-intensive" technologies in which success or failure is often seen and experienced in the setting of a brief hospitalization, there is often much interest and intrigue when a patient is supported on ECMO. Success requires a team effort and a tremendous amount of hard work and effective communication. The hope is that this text will serve as a cornerstone for program growth and development as well as an inspiration for those intrigued by the potential benefits of ECMO.

Intensive care medicine.

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One of the most challenging scientific steps of the modern era has been the ability to replace, functionally or anatomically, the failing heart, and in December 2017 we celebrated the 50th anniversary of the world's first human heart transplant. Despite a long and troubled hystory, heart transplantation has dramatically expanded over time, and is currently the ""gold standard"" solution in terms of treatment of refractory end-stage heart failure. Thanks to the contributions by well-known experts in the field, the goal of this book is to provide a framework for successful transplant program development and management. The text reflects the global collective efforts of those who have dedicated countless energy to achieving a better understanding of the details that will ultimately yield better outcomes in terms of teamwork.

Surgery. --- Surgery, Primitive --- Medicine --- Cardiac Surgery --- Cardiology and Cardiovascular Medicine --- Health Sciences

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This book is a detailed practical guide to the use of ventricular assist devices and total artificial hearts to provide mechanical circulatory support (MCS) in patients with end-stage heart failure. It explains why MCS may be indicated, which patients require MCS, when and how to implant ventricular assist devices or a total artificial heart, and how to avoid potential complications of MCS. Management throughout the period of care is described, from preimplantation to follow-up, and both typical and atypical cases are discussed. The text features numerous helpful tips and tricks relating to surgical and nonsurgical management and is supported by a wealth of high-quality illustrations that document the preoperative evaluation and implantation techniques. Heart transplantation remains the gold standard for the treatment of patients suffering from end-stage heart failure, but the shortage of donors has led to an increase in the use of MCS. This book will assist all physicians, and especially cardiologists and anesthesiologists, who are involved in the care of these patients.

Blood physiology. Circulatory physiology --- Anesthesiology --- Pathology of the circulatory system --- Orthopaedics. Traumatology. Plastic surgery --- Surgery --- Human medicine --- orgaantransplantatie --- farmacologie --- anesthesie --- spoedgevallen --- intensieve zorgen --- cardiologie --- hartchirurgie --- transplantaties --- intensieve-zorgen afdeling --- thoraxchirurgie