What the pediatric nurse needs to know about the Impella cardiac assist device.

Autor:	Borrelli G; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Nittolo I; Academic Department of Pediatrics (DPUO), Immune and Infectious Diseases Division, Research Unit of Primary Immunodeficiencies, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Bochicchio C; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Trainelli L; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Confalone V; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Satta T; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Cancani F; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Kirk R; Heart Failure, Transplantation and Cardio-Respiratory Mechanical Assistance Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Amodeo A; Heart Failure, Transplantation and Cardio-Respiratory Mechanical Assistance Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Di Nardo M; Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Perfusion [Perfusion] 2024 Apr; Vol. 39 (1_suppl), pp. 95S-106S.
DOI:	10.1177/02676591241237761
Abstrakt:	Background: Cardiogenic shock in children still carries a high mortality risk despite advances in medical therapy. The use of temporary mechanical circulatory supports is an accepted strategy to bridge patients with acute heart failure to recovery, decision, transplantation or destination therapy. These devices are however limited in children and extracorporeal membrane oxygenation (ECMO) remains the most commonly used device. Veno-arterial ECMO may provide adequate oxygen delivery, but it does not significantly unload the left ventricle, and this may prevent recovery. To improve the likelihood of left ventricular recovery and minimize the invasiveness of mechanical support, the Impella axial pump has been increasingly used in children with acute heart failure in the last decade. Purpose: There are still limited data describing the Impella indications, management and outcomes in children, therefore, we aimed to provide a comprehensive narrative review useful for the pediatric nurses to be adequately trained and acquire specific competencies in Impella management. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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