Left Ventricular Assist Device Management and Complications

被引：31

作者：

Birati, Edo Y. ^{[1
]}

Rame, J. Eduardo ^{[1
]}

机构：

[1] Univ Penn, Div Cardiovasc Med, Philadelphia, PA 19104 USA

来源：

CRITICAL CARE CLINICS | 2014年 / 30卷 / 03期

关键词：

Heart failure; Left ventricular assist device; Complications; Post-LVAD; INTERMACS ANNUAL-REPORT; ADVANCED HEART-FAILURE; NONCARDIAC SURGERY; SUCTION EVENTS; UNITED-STATES; SUPPORT; IMPLANTATION; OUTCOMES; TRANSPLANTATION; ARRHYTHMIAS;

D O I：

10.1016/j.ccc.2014.04.001

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Patients on long-term left ventricular assist device (LVAD) support present unique challenges in the intensive care unit. It is crucial to know the status of end-organ perfusion, which may require invasive hemodynamic monitoring with a systemic arterial and pulmonary artery catheter. Depending on the indication for LVAD support (bridge to decision or cardiac transplantation vs destination therapy), it is important to readdress goals of care with the patient (if possible) and their family after major events have occurred that challenge the survival of the patient.

引用

页码：607 / +

页数：22

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