• Critical care clinics · Jul 2014

    Review

    Left Ventricular Assist Device Management and Complications.

    • Edo Y Birati and J Eduardo Rame.
    • Division of Cardiovascular Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
    • Crit Care Clin. 2014 Jul 1;30(3):607-27.

    AbstractPatients on long-term left ventricular assist device (LVAD) support present unique challenges in the intensive care unit. It is crucial to know the status of end-organ perfusion, which may require invasive hemodynamic monitoring with a systemic arterial and pulmonary artery catheter. Depending on the indication for LVAD support (bridge to decision or cardiac transplantation vs destination therapy), it is important to readdress goals of care with the patient (if possible) and their family after major events have occurred that challenge the survival of the patient.Copyright © 2014 Elsevier Inc. All rights reserved.

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