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內容簡介: |
詳述ECMO的流程與使用方式、注意事項等。
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目錄:
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再版序
第一篇概論..................................................1
第一章體外循環維生系統概論.................................3
第二章小兒ECMO的臨床應用..............................37
第二篇ProtocolandRecordForm.......................45
第一章Equipment................................................47
1.ECMOEquipmen....................................................47
2.ECMOCart..............................................................60
3.ECMOWarehouse....................................................63
4.DistalPerfusionCatheter..........................................66
5.ECMOOperationInstrumentBox(PCV-13)...........69
6.ECMO機器電池使用標準作業規範........................73
7.ECMO水箱操作及注意事項..................................76
8.MedtronicECMO機器維修標準作業規範..............79
第二章PreparationandPriming.......................83
1.ECMO照會前需知.................................................83
2.手術排程.................................................................88
3.MedtronicCentrifugalECMOMachineSetting........95
4.MedtronicCentrifugalECMOCircuitPriming-Adult
...................................................................................99
5.MaquetRotaFlow機器操作設定程序..................102
vi
6.MaquetMedosECMOCircuitPriming-Adult........105
7.MaquetPLS-iSystemPrimingProcedure...............108
8.CentrifugalECMOPriming-Pediatric....................115
9.WholeECMOCircuitExchange.............................118
10.MEDOSAdultOxygenatorExchange.....................122
第三章CannulationandRemoval...................125
1.PediatricV-AECMONeckCannulation....................125
2.PediatricECMOTransthoracicCannulation.............128
3.AdultV-AECMOFemoralCannulation..................130
4.AdultECMOAxillaryCannulation..........................133
5.AdultFemoralV-AECMOWeaningandRemoval..136
6.V-VECMO............................................................140
7.ECMOShifttoCPBAlgorithm...............................153
8.ECMO管路緊急更換流程....................................156
第四章ECMOMode..................................159
第五章Care.............................................173
1.ECMOCareGuideline............................................173
2.活化凝血時間測量................................................180
2-1HEMOCHRON ResponseACT機器定期保養
校正程序.........................................................183
3.SerumFreeHemoglobinMeasurementbyHemoCue
..............................................................................185
4.CAVHonECMO....................................................187
4-1.Fresenius5008SLEDD-fonECMO................190
5.SICUBedsideOperationOrder...............................196
vii
6.血氧飽合度監測器校正........................................197
7.PressureCalibrationandMonitor............................199
8.撤除ECMO維生系統之關機程序.......................201
8-1.生命末期病人撤除ECMOCheckList...........203
9.ECMO遇緊急災害之應變措施............................204
10.體外維生系統(ECMO)家屬衛教單.................206
第六章Special.........................................209
1.ECMO病人院內運送流程..................................209
2.ECMOforLungTransplantation...........................212
3.NTUHNHBDECMOProtocol.............................214
4.ECMOforCPCRGuideline...................................218
5.HypothermiaafterECPR........................................220
6.AVCO2-RProtocol................................................222
7.VVCO2-RProtocol................................................225
8.CheckListforBrainDeathofECMOPatient..........228
第七章外院轉診運送.................................259
1.體外循環維生系統病患之運送概論.....................259
2.ECMO轉診運送的交通工具.................................235
2-1體外循環維生系統轉運救護車之需求設備....235
2-2ECMO高鐵運送標準作業流程.......................238
2-3ECMOSOS運送標準作業流程.......................241
3.轉診運送的流程.....................................................244
3-1外院ECMO病患轉入本院SICU之流程.........244
3-2台北市救護車運送標準收費表......................245
3-3不明原因ARDS之ECMO轉運流程...............247
3-4準備用物CheckList........................................249
3-5救護車出發前CheckList................................251
3-6ECMO返院前CheckList................................252
3-7返院途中救護車上ECMOCheckList............253
3-8加護病房接收外院ECMOCheckList............254
第八章健保規範......................................255
1.ECMO使用適應症.................................................255
2.心室輔助器裝置植入適應症..................................257
3.CentriMag事前審查申請書....................................258
4.線上申請CentriMag流程.......................................259
第九章RecordForm....................................265
-病歷單張..................................................................265
1.體外循環維生系統手術說明暨同意書..................266
2.麻醉說明暨同意書....................................................269
3.體外循環維生系統轉診同意書..............................273
4.體外循環維生系統裝置前評估單..........................275
5.體外循環維生系統裝置記錄單..............................277
6.成人體外循環維生系統裝置後照護計畫單...........278
7.小兒體外循環維生系統裝置後照護計畫單...........280
8.體外循環維生系統裝置檢查清單..........................281
9.體外循環維生系統每日檢查清單..........................282
10.體外維生系統及生命徵象記錄單..........................283
11.體外循環維生系統外院轉診紀錄單......................284
12.復甦術使用體外循環維生系統紀錄單..................286
13.NTUHECMOOperationConsumablesRecord
耗材記帳單.............................................................288
ix
-資料庫單張..............................................................289
14.NTUHECMODatabaseRegistryRecord................290
15.NTUHAMIECMORecord.....................................296
16.NTUHARDSECMORecord..................................299
17.NTUHLungTransplantationECMORecord............300
18.NTUHNHBDECMORecord..................................301
19.ELSORegistryForm................................................302
20.ELSOCardiacAddendumForm...............................307
21.ELSOECPRAddendumForm.................................309
22.照會拒絕體外循環維生系統評估單.......................312
第十章:案例分析.......................................313
1.OxygenatorThrombus..............................................314
2.Cannula問題..........................................................316
3.Hypothemia.............................................................326
4.AorticRootThrombus..............................................329
5.BP與IABP之關係................................................333
6.ECMOShifttoLVAD之理想時機.........................335
7.LVADCandidate.....................................................339
8.ECMOTransportCPR..............................................343
9.DelayECMOSupportinaAMIPatientwithCardiogenicShock......................................................................345
10.第二台ECMO時機...............................................347
11.ECMOMode...........................................................351
12.ECMOinLungTransplantation...............................355
13.HeparinTitration.....................................................357
14.ICHComplication....................................................360
第十一章:ECMOPublicationPaper.........................363
第三篇ECMO學習護照
(ECMO教學PPT檔作成光碟)
第四篇PDFofECMOPublicationbyNTUHSICU
(PDF檔作成光碟)
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