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Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Ventilatory Modes01:14

Ventilatory Modes

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Physiological Control of Respiration

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Establishment of a Novel Ex Vivo Lung Perfusion System for Rat Lungs After Circulatory Death
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Published on: October 18, 2024

[Automatic control and safety concepts for extracorporeal lung support].

Rüdger Kopp1, Marian Walter, Jutta Arens

  • 1Fachübergreifende Klinik für Operative Intensivmedizin, Universitätsklinikum Aachen, RWTH Aachen, Aachen, Deutschland. rkopp@ukaachen.de

Biomedizinische Technik. Biomedical Engineering
|October 8, 2009
PubMed
Summary

Extracorporeal membrane oxygenation (ECMO) devices are improved with new membranes and pumps for better safety and reliability. Advanced automation and circuit designs aim for safer, more accessible ECMO therapy, even with less supervision.

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Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
03:40

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting

Published on: January 17, 2025

Area of Science:

  • Biomedical Engineering
  • Critical Care Medicine

Background:

  • Severe acute respiratory distress syndrome (ARDS) can cause hypoxemia unresponsive to conservative therapy.
  • Extracorporeal membrane oxygenation (ECMO) provides essential gas exchange when conventional methods fail.

Purpose of the Study:

  • To enhance the safety and reliability of ECMO devices.
  • To explore advanced control and safety concepts for improved ECMO application.
  • To facilitate easier patient transfer with running ECMO.

Main Methods:

  • Optimized oxygenator design with plasma-resistant composite membranes.
  • Implementation of durable blood pumps with reduced cell damage.
  • Development of arterio-venous pumpless extracorporeal lung assist (pECLA) systems.
  • Integration of sophisticated automated control and safety concepts into ECMO circuits.

Main Results:

  • New materials and pump designs improve ECMO device performance and longevity.
  • Pumpless systems simplify management and mitigate pump-related risks.
  • Advanced automation and circuit revisions promise more reliable ECMO without constant perfusionist oversight.

Conclusions:

  • Optimized ECMO technology, including advanced automation, can enhance patient outcomes and accessibility.
  • Future ECMO systems may offer greater independence from continuous expert supervision.
  • Improved ECMO devices facilitate safer and more efficient patient management and transport.