Logo image
Anesthesia for Patients with Ventricular Assist Devices
Book chapter

Anesthesia for Patients with Ventricular Assist Devices

Javier H Campos
Mechanical Circulatory Support, pp.148-160
CRC Press, 1
1999
DOI: 10.1201/9780367813918-8

View Online

Abstract

Mechanical ventricular assist devices (VADs) have been used to support the circulation in patients waiting for a donor heart and in patients recovering from cardiopulmonary bypass (CPB) and cardiac surgery. Patients scheduled for VAD implantation as a bridge to cardiac transplantation will usually be having elective surgery, therefore nothing per mouth after midnight is ordered. Biventricular assist device are used for patients with left and right ventricular dysfunction who are unable to be weaned from CPB or those with progressive postcardiotomy cardiac failure in the postoperative period. Patients who undergo VAD placement remain intubated in the immediate postoperative period. Transport from the operating room to the surgical intensive care unit is made taking all precautionary measures for unexpected or unwanted complications during transport. Bleeding and coagulation disorders are a common problem in patients undergoing VAD placement, especially those who have had a prior cardiac surgery.
VAD Placement Color Flow Doppler Left Atrial Pressure Ventricular Outflow Tract Biventricular Assist Device LVAD Rocuronium Bromide ASD Scopolamine Hydrobromide PFO Ventricular Assist Device Aortic Valve Atrial Septal Defect Donor Heart Midazolam Hydrochloride LVAD Placement VAD Patient Left Ventricular Outflow Tract Pulmonary Artery LVAD Insertion LVAD Implantation VAD Ascending Thoracic Aorta VAD Implantation LVAD Recipient

Details

Metrics

23 Record Views
Logo image