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Nursing Care and ECMO: 2017


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Table of Contents

I. Medical Aspects.- ECMO definition and principles.- Indications and physiopathology.- II. Nursing care.- Preparing the patient and the ECMO device.- Monitoring the ECMO.- Monitoring the patient preventing complications and accidents.- Mobilizing the patient.- Transport under ECMO.- Weaning process.- How to manage incidents.- Psychological approach of the patient and its family.- Training of nurses: initial and continuous education.

About the Author

Chirine Mossadegh has been a registered nurse for the past ten years in the ICU at La Pitie-Salpetriere 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 Pitie 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, Hopital Pitie-Salpetriere, Universite 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 Medicale. He has published 108 peer-reviewed articles.

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