Advanced Techniques of Perfusion and Extracorporeal Life-Support

Definition and pathophysiology of heart failure: Terms for the description and definition of heart failure.
Etiology and Pathophysiology of heart failure
Symptoms and signs: Symptoms and signs of congestion.
Physical symptoms and signs resulting from inadequate tissue perfusion.
Symptoms and Severity: Classification of decompensation according to the New York Heart Association (NYHA).
Non-invasive and invasive investigations: Laboratory tests to be performed in patients with symptoms or signs of heart failure.
Neurohormonal evaluation.
ECG in heart failure.
ECG Holter. Chest X-ray. Lung function. Echocardiography. Nuclear cardiology. Cardiopulmonary stress test. Diagnostic imaging after stress. Right and left catheterization, coronary angiography.
Treatment of advanced heart failure: Health education, drug therapy and devices.
Pre and post cardiac transplant assistance: Cardiac transplant indication, requirements, absolute and relative contraindications, laboratory and instrumental screening, transplant list insertion. Organ assignment: criteria, receiving status. Diagnostic-therapeutic and care protocols aimed at systematic monitoring of clinical conditions and identification of early and late complications. Systemic and transplant organ complications. Etiology of systemic complications. Graft vasculopathy. Survival after transplant. Quality of life after transplantation.

Circulatory assistance: intraortic counterpulsation
Short-term assistance
Non-pulsatile systems:
Roller pump centrifuge
Axial pumps
Pulsatile systems
Long-term care: Electromechanical VADs VAD pneumatic and hydraulic Assistance to the patient with VAD

Classification of cardio-circulatory and / or mechanical respiratory assistance
The history of assistance with particular reference to the E.C.M.O.
Indications
Indications to the E.C.M.O.heart disease in neonatal age with particular reference to assistance in patients with univentricular heart physiology
Indications to the E.C.M.O. heart disease in adulthood
Indications to the E.C.M.O. respiratory in neonatal age
Indications to the E.C.M.O. respiratory in children
Indications to the E.C.M.O. respiratory in adulthood
Cannulas and cannulation Materials for E.C.M.O.
Tubes pumps Oxygenator Devices and accessories Management of the E.C.M.O.
Step 1: anamnesis
Step 2: analysis of the materials used
Step 3: patient, circuit management and correct compilation of the file
Step 4: Check list management
Step 5: Technical report of the circuit
Step 6: patient management in E.C.M.O. awake and spontaneously breathing
Step 7: management of the child in E.C.M.O.
Emergency and accident management
Transporting the patient to E.C.M.O.
Hemofiltration / Dialysis in E.C.M.O.
Cardiac transplant of the patient in E.C.M.O.
Lung transplantation of the patient in E.C.M.O.
Analysis of recent literature