direction, we may have to give time for the healing process and wait. Optimizing basal metabolic rate, minimizing the energy expenditure of the tissues, providing nutrition in right proportion resulting in normoglycemia, euthermia, and early initiation of hemofiltration if the kidneys are in a state of refractory shock, and preventing nosocomial infections are few of the measures in careful analysis and support of the body systems. The beauty of ECLS is caregivers need to have the strength to

more »

... sess each and every organ system, compare the pathophysiology with the physiology, and take actions not resulting in harm.