Preparing the Patient and the ECMO Device

Mirabel, Alicia; Jehanno, Anne-Clémence; David, Charles-Henri; Lebreton, Guillaume

doi:10.1007/978-3-319-20101-6_4

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…• Eye care should be based on three groups of interventions: preventing the eyes from drying out, observing the palpability of the eyelids every 2-4 times a day and maintaining eye hygiene. [4,11,15,16,17,18] The complexity of venovenous ECMO therapy requires many skills from nurses, from operating advanced equipment to caring for the patient. Continuous improvement in knowledge and practice is necessary to ensure the highest standard of care for patients undergoing this advanced form of therapy.…”

Section: Patient Skin Carementioning

confidence: 99%

Nursing Care of an Adult Patient Undergoing Veno-Venous Extra Corporeal Membrane Oxygenation (Vv Ecmo)

Czapiewski,

Ulenberg,

Kaczmarek

et al. 2024

ArveMED

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In today's dynamic medical environment, evolving technologies and advanced life-saving therapies pose new challenges to nursing care. One of the pioneering achievements in this field is veno-venous ECMO (extracorporeal membrane oxygenation) therapy, which plays a key role in the treatment of adult patients with severe respiratory failure. ECMO, also known as artificial respiratory support, is a revolutionary step towards more effective care for critically ill patients. This article is devoted to a deeper understanding of the role of nurses in the care of an adult patient undergoing venovenous ECMO therapy. Venovenous ECMO therapy is a procedure in which a patient's blood is pumped outside the body, where it is oxygenated, and then reintroduced into the circulation. For adult patients with advanced respiratory failure who do not achieve effective improvement with traditional treatment methods, ECMO often becomes the last resort. However, the complex nature of this therapy requires commitment and expertise from nurses to provide effective patient care. One of the main challenges that venovenous ECMO therapy poses to nurses is monitoring the patient's precise physiological parameters. Strict control of blood pressure, oxygen levels and organ perfusion becomes crucial to the success of therapy. Nurses therefore act as guardians of physiological stability, constantly reacting to possible instabilities and adjusting the parameters of the device under control. It is also worth emphasizing that nursing care for a patient undergoing venovenous ECMO therapy is not limited only to technical aspects. The comprehensiveness of this type of treatment is also associated with concern for the patient's psychosocial aspects. Long-term connection to an ECMO device can cause emotional and mental stress in the patient, which makes the support of nurses in the field of psychological care extremely important. Nurses act as both medical professionals and empathetic companions in difficult times, which translates into the overall success of therapy. The article will also focus on nurses' protocols for dealing with a patient undergoing venovenous ECMO therapy. From an excellent understanding of device maintenance to effective communication with the entire healthcare team, nurses play a key role in ensuring safe and effective therapy. As technology advances and life therapies become more advanced, nurses' skills are continually improved to meet the demands of modern medical care.

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Section: Patient Skin Carementioning

confidence: 99%

Nursing Care of an Adult Patient Undergoing Veno-Venous Extra Corporeal Membrane Oxygenation (Vv Ecmo)

Czapiewski,

Ulenberg,

Kaczmarek

et al. 2024

ArveMED

View full text Add to dashboard Cite

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Managing patients on extracorporeal membrane oxygenation support during the COVID-19 pandemic – a proposal for a nursing standard operating procedure

et al. 2021

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Background Extracorporeal membrane oxygenation (ECMO) is effective in a selected critically ill patient population with promising results in refractory hypoxemia related to the novel coronavirus disease (COVID-19). However, it requires specialized clinicians and resources in advanced technology. Moreover, the COVID-19 remains an ongoing global emergency, and there is no evidence-based practice in preparedness. This article proposes an innovative and optimized nursing care protocol, the Standard Operating Procedure (SOP), that regulates safety and efficiency in using personal protective equipment (PPE) during ECMO-relevant procedures while providing ECMO therapy for patients with COVID-19. Methods After performing a narrative literature search, we developed a high-fidelity translational simulation scenario. It included practicing appropriate donning and doffing PPE during work organization, ECMO-related procedures, and routine daily nursing care and management of ECMO over nine hours. In addition, we held supplementary constructive debrief meetings to consult international expert in the field. Results A proposal for nursing standardized operating procedures was created, divided into categories. They included work organization, workload references, competences, infrastructural conditions, cannulation equipment, daily routine nursing care, and procedures during ECMO. Conclusions High-fidelity medical simulation can play an important role in staff training, improvement in previously gained proficiency, and development of optimal SOP for nursing care and management during ECMO in patients with COVID-19. Optimal SOPs may further guide multidisciplinary teams, including intensive care units and interventional departments.

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Preparing the Patient and the ECMO Device

Cited by 2 publications

References 2 publications

Nursing Care of an Adult Patient Undergoing Veno-Venous Extra Corporeal Membrane Oxygenation (Vv Ecmo)

Nursing Care of an Adult Patient Undergoing Veno-Venous Extra Corporeal Membrane Oxygenation (Vv Ecmo)

Managing patients on extracorporeal membrane oxygenation support during the COVID-19 pandemic – a proposal for a nursing standard operating procedure

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