TITLE

The new role of the perfusionist in adult extracorporeal life support

AUTHOR(S)
McCoach, Robert M.; Baer, Larry D.; Wise, Robert K.; Woitas, Karl R.; Palanzo, David A.; Pae Jr., Walter E.; El Banayosy, Aly
PUB. DATE
January 2010
SOURCE
Perfusion;Jan2010, Vol. 25 Issue 1, p21
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Adult and pediatric extracorporeal life support (ECLS) has been transformed by the European1 and Australian2 experiences with a reduction of the circuit to its most basic form (Figure 1). Many factors have converged at this point in time to allow us to offer this support. The availability in the U.S.A. of an advanced oxygenator (QuadroxD) (Maquet Inc., Bridgewater, NJ), long-term centrifugal pumps and circuit coatings offers us the means to provide ECLS. The other equally important factor is the intensivist trained in extracorporeal therapies. Once the intensive care unit registered nurse (ICU RN) is trained to safely and effectively manage both the patient and ECLS circuit, this support may be offered. The perfusionist is in an unique position to educate and mentor the ICU RN in ECLS. There is, perhaps, no one in a better position to explain this equipment and its uses in an interdisciplinary-oriented pediatric and adult ECLS program than a perfusionist.
ACCESSION #
48665994

 

Related Articles

  • Reserve-driven flow control for extracorporeal life support: proof of principle. Simons, A. P.; Reesink, K. D.; LancĂ©, M. D.; van der Nagel, T.; van der Veen, F. H.; Weerwind, P. W.; Maessen, J. G. // Perfusion;Jan2010, Vol. 25 Issue 1, p25 

    Extracorporeal life support systems lack volume-buffering capacity. Therefore, any decrease in venous intravascular volume available for drainage may result in acutely reduced support flow. We recently developed a method to quantify drainable volume and now conceived a reserve-driven pump...

  • Management of continuous venous gas emboli during extracorporeal life support utilizing the Kolobow gas trap. Faulkner, Sherry C.; Johnson, Charles E.; Tucker, Juan; Schmitz, Michael L.; Drummond-Webb, Jonathan J. // Perfusion;Sep2004, Vol. 19 Issue 5, p301 

    Extracorporeal life support (ECLS) with a roller pump system uses a closed cardiopulmonary bypass (CPB) circuit not equipped with a venous reservoir. Hence, gas emboli cannot escape the ECLS circuit, predisposing to clot formation, membrane failure and potential gas embolism. Rarely, some...

  • Extracorporeal life support, ethics, and questions at the bedside: how does the end of the pathway look? Bein, Thomas; Weber-Carstens, Steffen; Herridge, Margaret // Intensive Care Medicine;Sep2015, Vol. 41 Issue 9, p1714 

    The article discusses issues related to extracorporeal life support, ethics and questions at the bedside. Topics covered include the increasing advocation and use of extracorporeal life support, veno-venous extracorporeal membrane oxygenation (ECMO) for severe lung failure, and the need for a...

  • Estate of Longeway. Callahan, Karen T. // Issues in Law & Medicine;Spring90, Vol. 5 Issue 4, p481 

    Examines an Illinois court ruling on the case of an unconscious person's common law right to refuse nutrition and hydration. Facts of the case; Existing laws governing withdrawal of life sustaining treatment; Debate on a patient's right to discontinue treatment and a state's interest in...

  • Advanced Medical Life Support.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p53 

    An encyclopedia entry for Advanced Medical Life Support, which refers to a course on effective response to common medical complaints and crises, is presented.

  • AMLS.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p97 

    An encyclopedia entry for "AMLS," which stands for advanced medical life support, is presented.

  • BLS.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p292 

    An encyclopedia entry for "BLS" or "basic life support" is presented.

  • Push to allow relatives to witness resuscitation. Wise, Jacqui // BMJ: British Medical Journal (International Edition);10/12/96, Vol. 313 Issue 7062, p899 

    Reports on the Resuscitation Council's recommendation that relatives be allowed to witness attempts to resuscitate patients. Controversy of the suggestion; Estimated total number of resuscitation attempts in Great Britain every year.

  • All change on the life support course. Greenhalgh, Trisha // British Journal of General Practice;Jun2013, Vol. 63 Issue 611, p313 

    A personal narrative is presented which explores the author's experience of attending a course related to life support.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics