Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
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Date
2018-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Wolters Kluwer - Medknow
Abstract
The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs. With improved survival, more of such patients now present for noncardiac surgery (NCS). This review, written for the general anesthesiologists, addresses the perioperative considerations when the patient undergoes NCS. For best outcomes, a multidisciplinary approach is essential in perioperative management of the patient.
Description
Keywords
Afterload, continuous‑flow, nonpulsatile, power consumption, preload, pulsatile, pump speed
Citation
Hwang Kai-Yin, Hwang Nian-Chih. Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist. Annals of Cardiac Anaesthesia. 2018 Oct; 21(4): 351-362