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What is the Role of the ABCDEF Bundle in Patients on Extracorporeal Membrane Oxygenation?

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Difficult Decisions in Cardiothoracic Critical Care Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

The ABCDEF bundle (i.e., Assess, Prevent and Manage Pain; Both Spontaneous Awakening/Breathing Trials; Choice of analgesia and sedation; Delirium: Assess, Prevent, Manage; Early Mobility; Family engagement) is a popular topic in critical care and cardiac surgery. There are several special considerations depending on the patient population prior to embarking on these efforts. Patients requiring circulatory support for either respiratory and/or cardiac dysfunction via extracorporeal membrane oxygenation (ECMO) may have pulmonary and/or hemodynamic instability. This severity of illness may elevate uncertainty about the implementation of the ABCDEF bundle in ECMO patients, and herein lays the current evidence about using these elements in patients with severe cardiopulmonary dysfunction requiring this advanced life support.

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Author information

Authors and Affiliations

  1. Vanderbilt University Medical Center, Section of Surgical Sciences, Department of Surgery, Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Nashville, TN, USA

    Mina F. Nordness & Mayur B. Patel

  2. Vanderbilt Center for Health Services Research, Vanderbilt Brain Institute, Vanderbilt ICU Delirium & Cognitive Impairment Study Group, Nashville, TN, USA

    Mayur B. Patel

  3. Vanderbilt University Medical Center, Departments of Neurosurgery and Hearing & Speech Sciences, Nashville, TN, USA

    Mayur B. Patel

  4. Surgical Services, Geriatric Research, Education and Clinical Center, Nashville VA Medical Center, Tennessee Valley Healthcare System, US Department of Veterans Affairs, Nashville, TN, USA

    Mayur B. Patel

Authors
  1. Mina F. Nordness
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  2. Mayur B. Patel
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Corresponding author

Correspondence to Mayur B. Patel .

Editor information

Editors and Affiliations

  1. University of Chicago Medicine, Chicago, IL, USA

    Vassyl A. Lonchyna

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Nordness, M.F., Patel, M.B. (2019). What is the Role of the ABCDEF Bundle in Patients on Extracorporeal Membrane Oxygenation?. In: Lonchyna, V. (eds) Difficult Decisions in Cardiothoracic Critical Care Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-04146-5_17

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  • DOI: https://doi.org/10.1007/978-3-030-04146-5_17

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  • Online ISBN: 978-3-030-04146-5

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