Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure
Autor: | SS Shah, T Suhitharan, W W Z Ma, Harikrishnan Kothandan |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Inotrope
Perioperative management business.industry Case Report Oxygenation medicine.disease equipment and supplies Transplantation Anesthesiology and Pain Medicine anesthesia extra-corporeal membrane oxygenation left ventricular assist device multi organ failure Anesthesiology Heart failure Anesthesia Circulatory system medicine RD78.3-87.3 Balloon pump business Destination therapy |
Zdroj: | Saudi Journal of Anaesthesia, Vol 15, Iss 2, Pp 210-212 (2021) Saudi Journal of Anaesthesia |
Popis: | Technological advances in mechanical circulatory support have enabled more patients with end-stage heart failure to benefit from left ventricular assist devices (LVAD). Indications for LVAD implantation have evolved to include patients who are deemed unsuitable for cardiac transplantation, otherwise known as destination therapy. This case report describes such patient with multi-organ failure who underwent LVAD insertion after nine days of extra-corporeal membrane oxygenation, intra-aortic balloon pump and maximal inotropic support. Strategies for perioperative management, as well as intra-operative monitoring and interventions are discussed. |
Databáze: | OpenAIRE |
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