A Reference Book for Practicing Intensivists
Editor
Rajesh Chandra Mishra MBBS MD (Medicine) FNB EDIC FCCM FCCP FICP
Consultant Intensivist and Internist General Secretary ISCCM 2019-20
Ahmedabad, Gujarat, India
Co-Editors
Kanwalpreet Sodhi DA DNB IDCCM
European Diploma in Intensive Care (EDIC) Section Editor, Journal Anesthesiology Clinical Pharmacology (JOACP) Director and Head, Department of Critical Care Deep Hospital, Ludhiana, Punjab, India
KC Prakash MD DNB (Nephrology)
Senior Consultant Nephrologist Department of Nephrology Apollo Hospitals, Chennai Coordinator of Dialysis Satellite Centers Apollo Dialysis Clinic
Chennai, Tamil Nadu, India
Past secretary of PDSI
Past Editor of IJPD
Poonam Malhotra Kapoor MD DNB MNAMS FIACTA (Hony) FTEE (Hony) FISCU (Hony)
Professor, Department of Cardiac Anesthesiology Cardiothoracic Center, All India Institute of Medical Sciences (AIIMS),
New Delhi, India
Editor-In-Chief, Journal of Cardiac Critical Care President, IACTA President, SCA-Delhi and NCR Branch Past President, ECMO Society of India Secretary and Chairman, Academics - The Simulation Society (TSS)
Foreword
Subhal Bhalchandra Dixit
Jaypee Brothers Medical Publishers (P) Ltd.
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ISCCM Manual of RRT and ECMO in ICU: A Reference Book for Practicing Intensivists
First Edition: 2020
9789389587999
Printed at:
_fm5Dedicated to
_fm7Contributors
- Abdul Samad Ansari MD FNB IDCCM
- Director, Critical Care Services
- Department of Critical Care
- Heart Institute, Balabhai Nanavati Hospital
- Mumbai, Maharashtra, India
- Ajay Padmanaban MD (Anesthesia) IDCCM
- Consultant
- Department of Critical Care Medicine
- Apollo Hospital
- Chennai, Tamil Nadu, India
- Ajith Kumar AK MBBS MD DNB EDIC FICCM
- Senior Consultant and Head
- Department of Critical Care Medicine
- Manipal Hospitals
- Bengaluru, Karnataka, India
- Amrish Patel MBBS
- Consultant
- Pulmonologist and Critical Care Specialist
- Sterling Hospital
- Ahmedabad, Gujarat, India
- Anand Raghunathan MBBS DA DNB FNB-Cardiac (Anesthesia) FRCA-UK FCAI-Ireland EDAIC (European Board) MFICM (Intensive Care, UK) Fellowship (Cardiac Anesthesia, Canada)
- Head, Cardiac Anesthesia
- Department of Cardiac Anesthesia
- Durdans Hospital
- Colombo, Sri Lanka
- Anil Sachdev DCH MD FICCM
- Director, Division of Pediatric Emergency
- Critical Care and Pulmonology
- Institute of Child Health
- Sir Ganga Ram Hospital
- New Delhi, India
- Anju Grewal MBBS MD
- Professor, Department of Anesthesiology
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Anvesh Golla MBBS MD DM
- Senior Resident
- Department of Nephrology
- Nizams Institute of Medical Sciences
- Hyderabad, Telangana, India
- Ashish Nandwani MD DNB (Nephrology) FASN
- Senior Consultant
- Medanta Kidney and Urology Institute
- Medanta—The Medicity
- Gurugram, Haryana, India
- Babu Abraham MD (Internal Medicine) MRCP (UK) Fellowship in Critical Care Medicine (University of Toronto) IFCCM
- Senior Consultant
- Department of Critical Care Medicine
- Apollo Hospital
- Chennai, Tamil Nadu, India
- Bhanu P Zawar MD
- Senior Consultant, Institute of Critical
- Care and Anesthesia
- Medanta —The Medicity
- Gurugram, Haryana, India
- Buddhika PJ Samaranayaka Bsc Msc (Clinical Sciences)
- Senior Perfusionist, Cardiac Surgery
- Durdans Hospital
- Colombo, Sri Lanka
- Chandreshkumar Sudani MBBS DNB IDCCM
- Consultant, Critical Care
- Medicover Hospital
- Hyderabad, Telangana, India
- Charudatt Vaity MD EDIC
- Senior Consultant Critical Care
- Department of Critical Care
- Deo Shankar Patel DA IDCCM
- Consultant and Head Critical Care
- Nayati Hospital
- Agra, Uttar Pradesh, India
- Dinesh Garg MBBS MD PDCC
- Consultant
- Cardiac Anesthesia and Critical Care
- Hero DMC Heart Institute, Dayanand Medical College
- Ludhiana, Punjab, India
- Dipak Viradia MBBS MD DNB Medicine
- Consultant Intensivist
- Unique Hopsital
- Surat, Gujarat, India
- Diptimala Aggarwal DA DNB FCCM
- Head, Department of Anesthesia and Critical Care
- Pushpanjali Hospital
- Agra, Uttar Pradesh, India
- Ganshyam Jagathkar MBBS MD FNB FICCM
- Director, Critical Care
- Medicover Hospital
- Hyderabad, Telangana, India
- Garima Bhag MBBS MD
- Associate Consultant
- Pediatric Cardiac Anesthesia and Intensive Care
- Children's Heart Center
- Kokilaben Ambani Hospital
- Mumbai, Maharashtra, India
- Girish V Kumthekar MD DNB (Nephrology)
- Consultant Nephrologist
- Department of Nephrology
- RENOWN Clinical Services and Star Hospital
- Hyderabad, Telangana, India
- Gopal Raval MBBS DNB (RESP MED) DTCD EDARM MNAMS IBSM FSM
- Consultant Critical Care Specialist and Pulmonologist
- Department of Critical Care Medicine
- Sterling Hospital, Ahmedabad, Gujarat, India
- GS Wander MBBS MD
- Professor and Head of Cardiology
- Hero DMC Heart Institute
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Past President, API
- Gunjan Chanchalani MD FNBE IFCCM EDIC
- Chief Intensivist,
- Department of Critical Care Medicine
- Bhatia Hospital
- Mumbai, Maharashtra, India
- Haresh Vastarpara MBBS DA IDCCM
- Consultant Intensivist
- Unique Hospital
- Surat, Gujarat, India
- Jitendra Chaudhari MD FNB EDIC
- Consultant Critical Care
- Department of Critical Care
- Fortis Hospital, Mumbai, Maharashtra, India
- Joyita Bharati MBBS
- Research Associate
- Department of Nephrology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Jyothsna Guttikonda MD
- Consultant and Head
- Department of Nephrology
- Star Hospital, Hyderabad, Telangana, India
- Kamlesh Tailor MD (Anesthesia) FNB (Cardiovascular and Thoracic Anesthesia)
- Consultant and Chief, Pediatric Cardiac Anesthesia and Intensive Care
- Children's Heart Center, Kokilaben Dhirubhai Ambani Hospital
- Mumbai, Maharashtra, India
- Kanav Anand MBBS MD Pediatrics (Gold Medalist) FPN
- Consultant, Division of Pediatric Nephrology and Renal Transplantation
- Department of Pediatrics
- Institute of Child Health
- Sir Ganga Ram Hospital
- Kanwalpreet Sodhi DA DNB IDCCM
- European Diploma in Intensive Care (EDIC)
- Section Editor, Journal Anesthesiology Clinical Pharmacology (JOACP)
- Director and Head, Department of Critical Care
- Deep Hospital, Ludhiana, Punjab, India
- KC Prakash MD DNB (Nephrology)
- Senior Consultant Nephrologist
- Department of Nephrology
- Apollo Hospitals, Chennai, Tamil Nadu, India
- Kesava Dev MBBS MS MCh (Cardiothoracic Surgery)
- Head, Department of Cardiac Surgery
- Durdans Hospital
- Colombo, Sri Lanka
- Khalid Ismail Khatib MD FICCM FICP
- Professor, Department of Medicine
- Smt Kashibai Navale Medical College
- Pune, Maharashtra, India
- Khushbu Vaghasiya MD IDCCM
- Consultant Intensivist
- Unique Hospital
- Surat, Gujarat, India
- KS Nayak MD DNB FISN FISOT FASN FRCP
- Senior Nephrologist
- Virinchi Hospital
- Hyderabad, Telangana, India
- Lata Bhattacharya MD
- Reader
- Department of Anesthesia
- JLN Cancer Hospital
- Bhopal, Madhya Pradesh, India
- Leena Bhangale MBBS DA CTCCM
- Consultant Intensivist
- Department of Critical Care
- Medicover Hospitals
- Nasik, Maharashtra, India
- Madhur Arora MBBS MD
- Associate Consultant
- Critical Care Medicine
- Fortis Memorial Institute
- Gurugram, Haryana, India
- Manender Kumar MBBS MD PDCC
- Consultant, Cardiac Anesthesia and Critical Care
- Hero DMC Heart Institute
- Dayanand Medical College, Ludhiana, Punjab, India
- Mansi Dandnaik MD IDCCM EDICM
- Consultant Intensivist
- Critical Care Medicine, Sterling Hospital
- Ahmedabad, Gujarat, India
- Manvi Narang MBBS PGPHM
- Chief Operating Officer
- Medical Administration
- Deep Hospital, Ludhiana, Punjab, India
- Mayur S Shah MD FNB Trainee
- Junior Consultant
- Department of Critical Care
- Balabhai Nanavati Hospital
- Mumbai, Maharashtra, India
- Munish Chauhan MBBS MD
- Consultant
- Critical Care Medicine
- Fortis Memorial Institute
- Gurugram, Haryana, India
- Muralidhar Kanchi MD FIACTA FICA MBA FASE
- Director (Academic)
- Senior Consultant and Professor
- Anesthesia and Intensive Care
- Narayana Hrudayalaya Hospitals
- Bengaluru, Karnataka, India
- Nandhakishore Jampala MBBS DA IDCCM EDIC
- Consultant, Department of Critical Care
- Medicover Hospital
- Hyderabad, Telangana, India
- Nilesh Bohra MBBS MD
- Associate Consultant
- Pediatric Cardiac Anesthesia and Intensive Care
- Children's Heart Centre
- Kokilaben Ambani Hospital
- Niraj Tyagi MBBS EDIC
- Consultant
- Institute of Critical Care and Emergency Medicine
- Sir Ganga Ram Hospital, New Delhi, India
- Nita George MD Anesthesia FRCA EDIC CCT Anesthesia (UK)
- Senior Consultant
- Intensivist and Anesthesiologist
- VPS Lakeshore Hospital and Research Center
- Department of Anesthesia and Critical Care
- Kochi, Kerala, India
- Parshotam Lal Gautam MD DNB FICCM
- Professor and Head
- Critical Care Medicine
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Poonam Malhotra Kapoor MBBS MD DNB MNAMS FIACTA FTEE FICCC FIECMO
- Professor
- Department of Cardiac Anesthesiology
- Cardiothoracic Center
- All India Institute of Medical Sciences (AIIMS)
- New Delhi, India
- Editor, Journal of Cardiac Critical Care (JCCC)
- President, IACTA; President, SCA-Delhi and NCR Branch; Past President, ECMO Society of India
- Secretary and Chairman, Academics – The Simulation Society (TSS)
- Pradip Kumar Bhattacharya MD FICCM FCCCM ACME
- Professor and Head/Incharge
- Critical Care/Trauma and Emergency
- Rajendra Institute of Medical Sciences
- Ranchi, Jharkhand, India
- Prakash Jiandani MD
- Senior Consultant
- Department of Critical Care
- Lilavati Hospital and Research Center
- Mumbai, Maharashtra, India
- Pratheema Ramachandran DNB IDCCM IFCCM EDIC
- Consultant Intensivist
- Department of Critical Care Medicine
- Apollo Specialty Hospitals
- Chennai, Tamil Nadu, India
- Praveen K Etta MD DM (Nephrology)
- Nephrologist
- Department of Nephrology
- Virinchi Hospital
- Hyderabad, Telangana, India
- Priyanka H Chhabra MBBS MD DNB
- Assistant Professor
- Anesthesiology and Critical Care
- Vardhaman Mahavir Medical College and
- Safdarjung Hospital
- New Delhi, India
- Rahul Pandit MD FJFCM FCICM FCCP EDIC IFCCM DA
- Director, Department of Critical Care
- Fortis Hospital
- Mumbai, Maharashtra, India
- Raja Ramachandran MBBS MD
- Assistant Professor
- Department of Nephrology
- Postgraduate Institute of Medical Education
- and Research
- Chandigarh, India
- Rajan Isaac MD (Medicine) DM (Nephrology)
- Associate Professor
- Department of Nephrology
- Christian Medical College and Hospital
- Consultant Nephrologist
- Deep Hospital, Deep Kidney Care Center
- Ludhiana, Punjab, India
- Rajasekara Chakravarthi M MD DNB (Nephrology)
- Consultant, Department of Nephrology
- Star Hospital
- Director, RENOWN Clinical Services
- Hyderabad, Telangana, India
- Rajesh Chandra Mishra MBBS MD (Medicine) FNB EDIC FCCM FCCP FICP
- Consultant Intensivist and Internist
- General Secretary ISCCM 2019-20
- Rajeev Gupta MSc (Perfusion)
- Perfusionist, Department of Cardiothoracic and Vascular Surgery
- Cardiothoracic Center
- All India Institute of Medical Sciences
- New Delhi, India
- Rajyalakshmi B DA IDCCM EDIC
- Consultant, Department of Critical Care
- Virinchi Hospital
- Hyderabad, Telangana, India
- Ramesh Venkataraman AB (Internal Medicine) AB (Critical Care Medicine) FCCM FICCM
- Senior Consultant, Department of Critical Care Medicine
- Apollo Hospitals, Chennai, Tamil Nadu, India
- Ranajit Chatterjee MBBS MRCP (Dublin) EDICM DA (Gold Medal) Critical care
- Chief Medical Officer and In-Charge Intensive Care and Accident and Emergency
- Swami Dayanand Hospital, New Delhi, India
- Ravi Jain MD FNB
- Consultant Surgical Critical Care, Nayati Medicity
- Mathura, Uttar Pradesh, India
- Ravindra Ghawat MD (Anesthesia) FNB (Critical Care)
- Head, Department of Critical Care
- Jupiter Hospital
- Thane, Maharashtra, India
- Ritu Airan MSc (Perfusion)
- Perfusionist, Department of Cardiothoracic and Vascular Surgery
- Cardiothoracic Center
- All India Institute of Medical Sciences
- New Delhi, India
- Rohit Yadav DA IDCCM
- Consultant Surgical Critical Care
- Nayati Medicity
- Mathura, Uttar Pradesh, India
- Ruchira Khasne MBBS DA DNB IDCCM EDAIC EDAIC
- Consultant and Head
- Department of Critical Care Medicine
- Ashoka-Medicover Hospital
- Nashik, Maharashtra, India
- S Antony BSc
- Chief Clinical Coordinator (PD)
- Department of Nephrology
- Virinchi Hospital
- Hyderabad, Telangana, India
- S Balasubramanian MD DNB
- Consultant Nephrologist
- Apollo Hospitals
- Chennai, Tamil Nadu, India
- Sameer Bhuwania MBBS MD (Medicine) DNB (Nephrology) (Final year student)
- Student
- Pushpawati Singhania Research Institute
- New Delhi, India
- Samir Gami MD (Respiratory Medicine)
- Head, Department of Critical care, Unique Hospital
- Consultant Intensivist and Pulmonologist
- ECMO Specialist
- Surat, Gujarat, India
- Sandeep Dewan MBBS IDCC
- Director and Head
- Intensive and Critical Care
- Fortis Memorial Research Institute
- Gurugram, Haryana, India
- Sandeep Sharan MBBS MD
- Senior Resident DM
- Cardiac Anaesthesia
- CN Centre AIIMS
- New Delhi, India
- Sandesh KJ MD FNB EDIC
- Consultant, Department of Critical Care
- Cloud Physician Healthcare
- Sanjeev Saxena MBBS MD (Medicine) DNB (Nephrology)
- Chairman, Nephrology and Renal transplant
- Pushpawati Singhania Research Institute
- New Delhi, India
- Sarju Ralhan MBBS MS MCh
- Chief Cardiac Surgeon
- Department of Cardiovascular and
- Thoracic Surgery
- Hero DMC Heart Institute
- Dayanand Medical College
- Ludhiana, Punjab, India
- Shashank MR MD FNB Trainee
- Resident
- Department of Critical Care
- Balabhai Nanavati Hospital
- Mumbai, Maharashtra, India
- Shikha Gupta MD (Anesthesia)
- Professor, Department of Anesthesia
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Simant Jha DA DNB PGDHM PDCR FIPM
- ATLS Instructor
- FCCS Course Director
- FCCS OBS Instructor
- Senior Consultant, Critical Care
- Pushpawati Singhania Research Institute
- New Delhi, India
- Snehal Gaikwad MBBS MD (Medicine) DNB (Nephrology)
- Consultant Nephrologist
- KEM Hospital, Pune, Maharashtra, India
- Sonu Manuel MBBS MD DNB
- Senior Resident
- Department of Nephrology
- Nizams Institute of Medical Sciences
- Hyderabad, Telangana, India
- Sree Bhushan Raju MD DM DNB MNAMS MBA FISN FICP FASN FACP
- Professor and Head
- Department of Nephrology
- Nizams Institute of Medical Sciences
- Hyderabad, Telangana, India
- Srinivas Samavedam MD FRCP DNB FNB EDIC FICCM DMLE MBA
- Head and Medical Director
- Department of Critical Care
- Virinchi Hospital, Hyderabad, Telangana, India
- Srinivasan Ramananthan MD (Internal Medicine) IDCCM
- Consultant, Department of Critical Care
- Lilavati Hospital and Medical Research Center
- Mumbai, Maharashtra, India
- Subba Reddy K MD (Anesthesiology) IDCCM IFCCM EDIC PDCC
- Senior Consultant and Coordinator
- Critical Care Medicine, Apollo Health City
- Hyderabad, Telangana, India
- Subhal Bhalchandra Dixit MD IDCCM FICCM FICP FCCM
- Consultant Critical Care and Director ICU
- Sanjeevan and MJM Hospitals
- Pune, Maharashtra, India
- Sumati Verma MBBS MD IFPCCM
- Junior Consultant
- Pediatric Intensive Care
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- Suneet Kathuria MD (Anesthesia)
- Professor, Department of Anesthesia
- Dayanand Medical College
- Ludhiana, Punjab, India
- Sunil Karanth MBBS MD FNB EDIC FCICM (Aus/NZ)
- Chairman, Critical Care Medicine
- Manipal Health Enterprises (P) Ltd
- Senior Consultant
- Department of Critical Care Medicine
- Sunitha Binu Varghese DNB (Medicine) IDCCM EDIC
- Head, Department of Critical Care
- Niramaya Hospital, Pune, Maharashtra, India
- SV Subhramanyam MD MISN
- Nephrologist
- Department of Nephrology
- Virinchi Hospital
- Hyderabad, Telangana, India
- Topoti Mukherjee MD (Medicine) DNB (Nephrology) Fellowship in Transplantation (Canada)
- Consultant Nephrologist and Transplant Physician
- Manipal Hospitals
- Bengaluru, Karnataka, India
- Tushar Patel MBBS
- Senior Consultant
- Department of Pulmonology
- Sterling Hospital
- Ahmedabad, Gujarat, India
- Vaishali Solao MD FNB
- Director, Intensive Care
- Jupiter Hospital
- Pune, Maharashtra, India
- Vijay Kher MD DM (Nephrology) FAMS FRCPE
- Chairman
- Medanta Kidney and Urology Institute
- Medanta—The Medicity
- Gurugram, Haryana, India
- Vilesh Valsalan Kalthoonical DNB (Medicine) DNB (Nephrology)
- Associate Consultant Nephrologist
- Department of Nephrology
- VPS Lakeshore Hospital and Research Center
- Kochi, Kerala, India
- Vinod Kumar Singh MD (Resp Med) EDIC FCCP FRCP (Edin) FICCM
- Senior Consultant and Academic Coordinator
- Institute of Critical Care and Emergency Medicine
- Sir Ganga Ram Hospital
- New Delhi, India
- Vishwa Bharatkumar Patel MBBS
- Medical Officer
- Shaleen Healthcare Ltd
- Ahmedabad, Gujarat, India
- Vivek Gupta MBBS DNB
- Consultant
- Cardiac Anesthesia and Intensive Care
- Hero DMC Heart Institute
- Ludhiana, Punjab, India
- Vivekanand Jha MD DM FRCP FAMS
- Executive Director
- The George Institute for Global Health, India
- Professor of Nephrology and James Martin Fellow
- University of Oxford
- Conjoint Professor of Medicine
- University of New South Wales, Sydney, Australia
- President, International Society of Nephrology
- Yash Javeri DA IDCCM FICCM
- Head, Surgical Critical Care
- Nayati Medicity, Mathura
- Chairman-SCCM Delhi NCR
- Convener-Indian Sepsis Forum
- Mathura, Uttar Pradesh, India
- Yatin Mehta MD MNAMS FRCA FAMS
- Chairman
- Institute of Critical Care Anesthesiology
- Medanta —The Medicity
As, President of Indian Society of Critical Care Medicine (ISCCM), it is my proud privilege to introduce the book titled ISCCM Manual of Renal Replacement Therapy and Extracorporeal Membrane Oxygenation in ICU: A Reference Book for Practicing Intensivists, to the critical care community.
With the ever-expanding field of critical care, and extracorporeal therapy being routinely prescribed as a rescue therapy to manage critically ill patients in a variety of ICU settings, it is the first book of its kind highlighting the theoretical and practical aspects of extracorporeal life support (ECLS) in critical care. As an endeavor to strengthen the academics and ICU practices across the country, the ISCCM has come up with this book to serve as a bedside reference guide for patients undergoing ECLS.
Experts from across the country have come together through the book to share their wide experience in the field of renal replacement therapy (RRT) and extracorporeal membrane oxygenation (ECMO). All the contributors are renowned critical care and Nephrology experts from leading institutions across India and overseas.
This book represents an invaluable resource for critical care professionals for the treatment of acute kidney injury (AKI) in ICU patients, how to select and deliver the appropriate form of RRT and ECMO, with comprehensive material accompanied by practical aspects.
The book has been divided into 2 separate sections on RRT and ECMO, comprising of 48 chapters with multiple-choice questions at the end of each section. Each chapter is dedicated to the practical aspects of the topic elucidating practical management decision points, supported by well-illustrated figures and tables. At the end of the chapter, there are key learning points, which can serve as guidelines. Separate chapters for both RRT and ECMO in the pediatric population have been included.
For the first time, a complete textbook with practical algorithms and protocols on ECLS has been published, covering the basics as well as advances in the field of ECLS. In addition to providing a practical resource containing the core science of ECLS principles, it is designed to serve as (1) a companion resource to day to day RRT and ECMO management in ICU; (2) as an educational resource for critical care students appearing for national or international exams; and (3) an interdisciplinary document that recognizes the unique skills that each member of the multidisciplinary team possesses and guides how to implement the ECLS program in your ICUs. Intensivists, nephrologists, postgraduates and ICU or dialysis nurses across the country will find this book an invaluable reference text.
I would like to congratulate Dr Rajesh C Mishra, the Chief Editor, Dr Kanwalpreet Sodhi and team for accomplishing the difficult task successfully. I hope the book serves the purpose for the critical care community in saving lives!
Best Wishes!!
Subhal Bhalchandra Dixit
MD IDCCM FICCM FCCM FICP
_fm17Preamble
The field of critical care is dynamic and ever expanding, encompassing the clinical, diagnostic and therapeutic skills required to manage critically ill patients in diverse situation is not only essential but mandatory. To keep pace with the developments, over the last two decades the Indian Society of Critical Care Medicine (ISCCM) has been at the forefront of teaching and training in intensive care. Appreciating and understanding the complexity of issues in critical care, with minimal guidance available to intensivist across nook and corner of country, ISCCM has come up with a book entitled, ISCCM Manual of Renal Replacement Therapy and Extracorporeal Membrane Oxygenation in ICU: A Reference Book for Practicing Intensivists, edited by Dr Rajesh C Mishra and colleagues.
Extracorporeal life support, routinely promoted as a ‘Rescue therapy’, though being practiced across the ICUs in day-to-day clinical practice but still is under-explored. Combining the knowledge and wisdom of intensivists, nephrologists, cardiac anesthetists, cardiac surgeons and eminent physicians, the book extensively covers the practical aspects of both renal replacement therapy (RRT) and extracorporeal membrane oxygenation (ECMO), including non-renal uses of RRT in patients with sepsis and poisonings. The chapters are concise, to the point, well illustrated and the layout is fresh and attractive, thus easy to read and understand. The key points, serving as guidelines have been summarized at the end of the chapter. Challenges in their use in children have been well highlighted, including differences from adults. The book being clinically oriented has the potential to serve as a practical reference book on extracorporeal therapy for practitioners of critical care. The book is a laudable effort on the part of ISCCM and I am sure it will be well received by ICU physicians not only across the country, but also overseas.
I am delighted to introduce the book to the critical care community and extend my best wishes to Dr Rajesh Mishra, his coeditors and authors of the chapters.
Dhruva Chaudhry MD DNB DM (PCCM)
Senior Professor and Head
Department of Pediatric Critical Care Medicine
Dean Medical Superspecialty
Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences, Rohtak
fm_19Preface
The ISCCM Manual of Renal Replacement Therapy and Extracorporeal Membrane Oxygenation in ICU: A Reference Book for Practicing Intensivists is an endeavor by Indian Society of Critical Care Medicine (ISCCM), the first book of its kind covering practical aspects of bedside extracorporeal therapy (ECT) in ICU patients. It covers various aspects of treatment of acute kidney injury (AKI) in ICU, selection and delivery of the appropriate form of renal replacement therapy (RRT) and extracorporeal membrane oxygenation (ECMO), with comprehensive material accompanied by practical aspects. The contents are focused for the young budding intensivists and critical care students, but the book will surely be a useful bedside reference guide for anybody handling extracorporeal therapy in critically ill patients. The chapters are concise; discuss the techniques with diagrammatic representation, along with the management, with key points at the end of each chapter. It covers recent indications in the field of ECT like apheresis, ECMO for sepsis and eCPR, which may bring changes in the clinical practice of critical care physicians. This book will also help postgraduate students and young aspiring intensivists to prepare for various national and international examinations. It should be an invaluable resource for critical care professionals across the country.
The book has contributions from eminent national and international critical care physicians, nephrologists, cardiac anesthetists and cardiac surgeons, who have prepared text based on clinical evidence, which will help readers to keep abreast with the latest knowledge in this fast-changing medical world. The chapters are arranged with subheadings, flowcharts, checklists and illustrations for better assimilation of content. To authenticate ECT practice in Indian ICUs and to gain knowledge about the practices and perceptions of Indian intensivists, we also conducted a national survey through ISCCM portal, the results of which have been detailed as an introduction to the book.
Our special thanks to all the contributors of this book. We also thank our ISCCM friends and position holders for their valuable inputs at all times. We enjoyed working for this book; compiling and editing chapters. We hope the book will be informative and reader friendly. We are thankful to M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for publishing this book.
Rajesh Chandra Mishra
Kanwalpreet Sodhi