ECMO实操手册
ECMO实操手册
ECMO 是一项风险高、管理复杂、个体化强、团队协作要求高的生命支持技术，从建立到撤离涉及许多细节。如何将这些细节进行科学的梳理并流程化，以使团队工作效率化是规范化 ECMO 应用的关键。本书以临床操作为主，主要内容包含ECMO主机介绍、基本原理、治疗相关的的适应证、禁忌证、置管、日常管理、常见并发症的处理等，涉及 ECMO 的所有环节，从指征判断、建立到后 ECMO 的撤离，注重实际操作与细节。采取手册形式，方便医生携带与查阅。
中国医师协会呼吸医师分会危重症医学工作委员会主任委员、中国心胸麻醉学会体外生命支持专业委员会副主任委员、中国医师学会重症医师专业委员会常委、中国医师协会外生命支持专业委员会常委
1.1 Maquet 主机 / 002
1.2 Sorin 主机 / 005
1.3 变温水箱 / 008
1.4 空氧混合器 / 009
附1 Maquet 报警设置 / 009
附2 ECMO 导管及穿刺套包 / 010
2. 适应证 /011
2.1 急性呼吸窘迫综合征适应证 / 012
2.2 肺移植适应证 / 013
2.3 慢性阻塞性肺疾病适应证 / 013
2.4 支气管哮喘适应证 / 014
2.5 肺动脉栓塞适应证 / 014
2.6 大气道阻塞或胸外科手术适应证 / 014
中日友好医院以国家呼吸医学中心为主体，整合了急诊、心内科、心外科、外科重症监护病房等科室的设备、技术、人员，成立了具有代表性的国内大型综合医院院内ECMO 救治体系。目前我院已建立系统的质控体系，开展了诸多开创性的ECMO 技术，救治成功率以及经验积累处于国内较高水平，尤其在静脉静脉体外膜氧合（venovenous ECMO，VV-ECMO）治疗呼吸衰竭领域具有领先优势。目前已牵头实施ECMO 多中心研究3 项，主持国内部ECMO 治疗呼吸衰竭共识的制定，成立“明道呼吸支持技术学院·体外呼吸循环支持中心”，举办各类ECMO 培训班14 次，培训人员近1 000 名。
ECMO 是一项风险高、管理复杂、个体化强、团队协作要求高的生命支持技术，从建立到撤离涉及许多细节。如何将这些细节进行科学梳理并流程化，以使团队工作效率化是规范化ECMO 应用的关键。基于这样的考虑，中日友好医院呼吸与危重症医学科外科重症监护病房的全体医护人员从临床实践出发，将平时的工作流程及工作经验汇集成册，经多次修改，始有本书的诞生。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
ECMO 是一项风险高、管理复杂、个体化强、团队协作要求高的生命支持技术，从建立到撤离涉及许多细节。如何将这些细节进行科学的梳理并流程化，以使团队工作效率化是规范化 ECMO 应用的关键。本书以临床操作为主，主要内容包含ECMO主机介绍、基本原理、治疗相关的的适应证、禁忌证、置管、日常管理、常见并发症的处理等，涉及 ECMO 的所有环节，从指征判断、建立到后 ECMO 的撤离，注重实际操作与细节。采取手册形式，方便医生携带与查阅。
中国医师协会呼吸医师分会危重症医学工作委员会主任委员、中国心胸麻醉学会体外生命支持专业委员会副主任委员、中国医师学会重症医师专业委员会常委、中国医师协会外生命支持专业委员会常委
1.1 Maquet 主机 / 002
1.2 Sorin 主机 / 005
1.3 变温水箱 / 008
1.4 空氧混合器 / 009
附1 Maquet 报警设置 / 009
附2 ECMO 导管及穿刺套包 / 010
2. 适应证 /011
2.1 急性呼吸窘迫综合征适应证 / 012
2.2 肺移植适应证 / 013
2.3 慢性阻塞性肺疾病适应证 / 013
2.4 支气管哮喘适应证 / 014
2.5 肺动脉栓塞适应证 / 014
2.6 大气道阻塞或胸外科手术适应证 / 014
中日友好医院以国家呼吸医学中心为主体，整合了急诊、心内科、心外科、外科重症监护病房等科室的设备、技术、人员，成立了具有代表性的国内大型综合医院院内ECMO 救治体系。目前我院已建立系统的质控体系，开展了诸多开创性的ECMO 技术，救治成功率以及经验积累处于国内较高水平，尤其在静脉静脉体外膜氧合（venovenous ECMO，VV-ECMO）治疗呼吸衰竭领域具有领先优势。目前已牵头实施ECMO 多中心研究3 项，主持国内部ECMO 治疗呼吸衰竭共识的制定，成立“明道呼吸支持技术学院·体外呼吸循环支持中心”，举办各类ECMO 培训班14 次，培训人员近1 000 名。
ECMO 是一项风险高、管理复杂、个体化强、团队协作要求高的生命支持技术，从建立到撤离涉及许多细节。如何将这些细节进行科学梳理并流程化，以使团队工作效率化是规范化ECMO 应用的关键。基于这样的考虑，中日友好医院呼吸与危重症医学科外科重症监护病房的全体医护人员从临床实践出发，将平时的工作流程及工作经验汇集成册，经多次修改，始有本书的诞生。
Shipping Overview:
• Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99.
• Order Processing: Please allow 1-2 business days for order processing and preparation before shipment.
• Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days.
• International Shipping: Currently, we only ship within the USA.
• Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.
Shipping Delays:
Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.
Shipping Options:
-
Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.
-
Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.
-
Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.
-
Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.
Delivery Details:
-
Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.
-
Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.
-
Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.
Shipping Confirmation:
You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.
Order Modifications:
If you need to cancel or modify your order, please contact our customer support immediately.
Issues with Delivery:
If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.
Customer Support:
Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.
Return & Refund Policy Overview
Please review our return and refund policies below to ensure a smooth transaction process.
Return Policy
-
Duration: You have 30 days from receiving your item to initiate a return.
-
Condition: Items must be unworn, unwashed, with original tags and packaging intact.
-
Shipping Costs: Customers are responsible for return shipping costs.
-
Packaging: Ensure returned items are well-packaged to avoid damage during transit.
-
Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.
-
Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.
How to Return
-
Method: Returns must be sent back by mail to the address provided in the return instructions.
Return Label
-
Defective Products: Return labels are provided for defective items.
-
Non-Defective Returns: Customers are responsible for obtaining their return shipping label.
Product Conditions for Return
-
Eligible Products: Returns are only accepted for items in new condition.
Nonreturnable Items
Certain items are not eligible for return:
-
Electronic devices after 30 days (e.g., computers, laptops, Kindles)
-
Gift cards, prepaid game cards
-
Perishable goods, live insects, some jewelry, some health and personal care items
-
Customized or personalized products
-
Items with special shipping restrictions
Refund Policy
-
Window: Eligible products may be returned within 30 days of delivery for a refund.
-
Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.
-
Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.
Claims
Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.
Exchange Policy
For the quickest service, return your original item and place a new order for the desired product once your return is accepted.
Return Address
EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366
Customer Support
Available 24/7 for any questions or assistance needed:
-
Phone: +1 636-312-5925
-
Email: cs@everymarket.com
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