Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices.

Autor:	Bowles CT; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Hards R; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Wrightson N; Department of Cardiothoracic Transplantation, Freeman Hospital, Newcastle upon Tyne, UK., Lincoln P; Department of Cardiothoracic Transplantation, Papworth Hospital NHS Foundation Trust, Cambridge, UK., Kore S; Department of Cardiothoracic Transplantation, Wythenshawe Hospital, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK., Marley L; Department of Cardiothoracic Transplantation, Queen Elizabeth Hospital Birmingham, Birmingham, UK., Dalzell JR; Scottish Advanced Heart Failure Service, Golden Jubilee National Hospital, Glasgow, UK., Raj B; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Baker TA; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Goodwin D; Department of Cardiothoracic Transplantation, Papworth Hospital NHS Foundation Trust, Cambridge, UK., Carroll P; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Pateman J; Anaesthetic Department, Royal Sussex County Hospital, Brighton, UK., Black JJM; Clinical Directorate, South Central Ambulance Service Foundation Trust, Oxfordshire, UK., Kattenhorn P; East of England Ambulance Service Headquarters, Whiting Way, Melbourn, Cambs., SG8 6EN., East of England Ambulance Service Headquarters, Melbourn, Cambs, UK., Faulkner M; London Ambulance Service, Medical Directorate Office, London, UK., Parameshwar J; Department of Cardiothoracic Transplantation, Papworth Hospital NHS Foundation Trust, Cambridge, UK., Butcher C; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Mason M; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Rosenberg A; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., McGovern I; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Weymann A; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Gwinnutt C; Resuscitation Council, London, UK., Banner NR; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Schueler S; Department of Cardiothoracic Transplantation, Freeman Hospital, Newcastle upon Tyne, UK., Simon AR; Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK., Pitcher DW; Resuscitation Council, London, UK.
Jazyk:	angličtina
Zdroj:	Emergency medicine journal : EMJ [Emerg Med J] 2017 Dec; Vol. 34 (12), pp. 842-850. Date of Electronic Publication: 2017 Nov 10.
DOI:	10.1136/emermed-2016-206172
Abstrakt:	Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients. Competing Interests: Competing interests: RH and AS have had remunerated consultancy agreements with Medtronic which provided funding for this initiative. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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