Chapter 1: Let's Learn About ECMO

Part 1. The Concept of ECMO. What is ECMO?
1) ECMO is a life support device
2) ECMO management concept
3) Concept of respiratory ECMO: resting the lungs
4) Concept of cardiac ECMO: Resting the heart
5) Careful ECMO operation to reduce complications
Part 2. Basic Knowledge for ECMO Management
1) Structure of the ECMO system
2) ECMO life = Blood drainage: Cannula should be thick and short!
3) Simple but difficult gas exchange (count water vapor too!)
4) Circuit pressure: Drainage up to 100, return up to 400
5) Circuit monitoring: Monitor excessive pressure to monitor for adverse effects.
6) ECMO's core drug = Anticoagulant: Heparin to reduce aPTT to 40-60 seconds!
7) Prevention of hemolysis

Chapter 2: Let's use ECMO!

Part 3.
Life maintained by cardiac ECMO
1) This is how to use circulation assistance!
2) Pay attention to this part of cardiac ECMO!
3) God is in the details (Cardiac ECMO)
Part 4.
Life maintained by respiratory ECMO
1) This is how to use artificial respiration assistance!
2) Focus on respiratory ECMO! (ECMO-related infections and sepsis)
3) God is in the details (Respiratory ECMO)
Part 5.
Life maintained by E-CPR
1) This is how to use E-CPR! - Let's learn through the case of an ambulance helicopter!
2) Pay attention to this part of E-CPR!
3) God is in the details (E-CPR Edition)

Chapter 3: What's Possible with ECMO

Part 6.
Awake ECMO
1) Management of Awake ECMO Patients - Focused on Comfort
Part 7.
Early Mobilization
1) Aiming at returning ECMO patients to their daily lives
2) Post intensive care syndrome (PICS)
3) Early Mobilization
4) Early mobilization of ECMO

Column. Reflecting on the Identity of Critical Care Through ECMO

In closing
index

Translator's Preface

Dear medical professionals and medical students,

Extracorporeal membrane oxygenation (ECMO) technology is increasingly recognized for its value in the treatment of patients with significant decline in heart and lung function.
This technology has become an essential treatment, especially for patients with severe heart or respiratory failure, and is playing a vital role in saving lives in many medical facilities around the world.

Through this introduction, I am very pleased to introduce to Korean medical professionals a book on ECMO published in Japan.
This book provides a broad range of knowledge, from the theory to practical application of ECMO therapy, and is based on the latest research and experience in this field.
The translation of this book was undertaken to provide Korean medical professionals and medical students with the opportunity to gain broader knowledge and explore better treatment methods.

ECMO is an essential tool for sustaining patient life and helping them recover in a variety of clinical situations.
This book will be very useful for providing an in-depth understanding of ECMO use, starting with how the machine works, through appropriate patient selection, managing complications that may arise during treatment, and the post-treatment recovery process.

The publication of this translated version will greatly contribute to the advancement and spread of ECMO technology in Korea.
This book will provide you with the practical knowledge necessary for ECMO therapy, which will ultimately help you provide better life-sustaining technology to patients.

We hope that this translation will be a valuable resource for your clinical practice and research, and we sincerely hope that understanding and application of ECMO technology will spread widely in Korea.
We invite you to join us on this journey to pioneer this new terrain.

We sincerely thank you and wish you continued success.

July 2024
Lee Dong-won