Anaesthesia for Implantation of the Jarvik 2000 Flowmaker® LVAD

Lh, Tan; Cokis, C

doi:10.1177/0310057x0603400605

Anaesth Intensive Care

2006

DOI: 10.1177/0310057x0603400605

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Anaesthesia for Implantation of the Jarvik 2000 Flowmaker® LVAD

Tan Lh

C Cokis

Abstract: One week before implantation he had been admitted for decompensated heart failure and treated with continuous cardiac output catheter had been inserted Premedication consisted of oral lorazepam and air and a morphine infusion, with the aid of a BIS ®

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Cited by 5 publications

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Mechanical support of the heart

Pařízková¹,

Wright²,

Birks³

2009

Anaesthesia & Intensive Care Medicine

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Mechanical support of the heart can be offered to patients who are refractory to pharmacological treatment, therapy for coronary or valvular disease or resynchronization therapy. Ventricular assist devices enable end-organ perfusion in the setting of heart failure. This can be temporary (as a bridge to recovery or transplantation) or permanent (destination therapy). Devices can be extracorporeal or implanted, and generated flows can be pulsatile or non-pulsatile. Implantation usually requires sternotomy with or without cardiopulmonary bypass, but percutaneous devices exist. Cardiostable anaesthesia with inotropic support is vital. Problems include bleeding versus thrombosis, high pulmonary vascular resistance, right heart failure and late infections. Transoesophageal echocardiography can be used to detect potential right-to-left atrial shunts, aortic regurgitation and cannula malposition, and to monitor filling and right ventricular function after implantation. In the future, total implantability of the devices, including the power source, is likely to occur. Eventually, they are likely to become a widespread alternative to transplantation.

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Mechanical support of the heart

Pařízková¹,

Wright²,

Birks³

2009

Anaesthesia & Intensive Care Medicine

View full text Add to dashboard Cite

show abstract

Mechanical support of the heart

Pařízková

Wright

Birks

2012

Anaesthesia & Intensive Care Medicine

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Mechanical support of the heart

Pařízková¹,

Wright²,

Birks³

2015

Anaesthesia & Intensive Care Medicine

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Anaesthesia for Implantation of the Jarvik 2000 Flowmaker® LVAD

Abstract: One week before implantation he had been admitted for decompensated heart failure and treated with continuous cardiac output catheter had been inserted Premedication consisted of oral lorazepam and air and a morphine infusion, with the aid of a BIS ®

Cited by 5 publications

References 14 publications

Mechanical support of the heart

Mechanical support of the heart

Mechanical support of the heart

Mechanical support of the heart

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