Impella in Transport: Physiology, Mechanics, Complications, and Transport Considerations
| Autor: | Jordan Bonomo, Jonathan Chuko, Kari L. Gorder, Christopher R. Shaw, Saad Ahmad, William R. Hinckley, Michael J. Lauria, Amy Swiencki, Justine Milligan, Adam L. Gottula |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Coronary angiography
medicine.medical_specialty Critical Care business.industry Cardiogenic shock Transport medicine Hemodynamics Shock Cardiogenic Conventional treatment Emergency Nursing medicine.disease Patient support Patient population Treatment Outcome Emergency Medicine medicine Humans Heart-Assist Devices business Intensive care medicine Impella |
| Zdroj: | Air Medical Journal. 41:114-127 |
| ISSN: | 1067-991X |
| DOI: | 10.1016/j.amj.2021.10.003 |
| Popis: | Cardiogenic shock (CS) represents a spectrum of hemodynamic deficits in which the cardiac output is insufficient to provide adequate tissue perfusion. The Impella (Abiomed Inc, Danvers, MA) device, a contemporary percutaneous ventricular support, is most often indicated for classic, deteriorating, and extremis Society for Coronary Angiography and Intervention stages of CS, which describe CS that is not responsive to optimal medical management and conventional treatment measures. Impella devices are an evolving field of mechanical support that is used with increasing frequency. Critical care transport medicine crews are required to transport patient support by the Impella device with increasing frequency. It is important that critical care transport medicine crews are familiar with the Impella device and are able to troubleshoot complications that may arise in the transport environment. This article reviews many aspects of the Impella device critical to the transport of this complex patient population. |
| Databáze: | OpenAIRE |
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