Physical Therapist Management of Patients With Ventricular Assist Devices: Key Considerations for the Acute Care Physical Therapist
This article provides an overview of the utilization of ventricular assist devices (VADs), reviews the common features of VADs and management of VAD recipients, discusses clinical considerations in the rehabilitation process, and describes the role of the acute care physical therapist in the care of VAD recipients.
Diagnosis and Management of Circulatory Arrest in Pediatric Ventricular Assist Device Patients: Presentation of Two Cases and Suggested Guidelines
Pediatric patients supported by ventricular assist devices (VADs) are becoming more common. No guidelines exist to provide an approach to diagnosis or management of circulatory arrest in these patients. We present two case reports of apparent circulatory arrest in pediatric VAD-supported patients at our institution.
Levosimendan versus an Intra-Aortic Balloon Pump in High-Risk Cardiac Patients
To test the hypothesis that levosimendan is more effective than intra-aortic balloon pump (IABP) support in cardiac surgical patients with low left ventricular ejection fraction to decrease cardiac troponin I levels (primary endpoint) and improve hemodynamics.
A Case-Controlled Evaluation of the Medtronic Resting Heart System Compared with Conventional Cardiopulmonary Bypass in Patients Undergoing Isolated Coronary Artery Bypass Surgery
The Medtronic Resting Heart System (RHS) is a heparin-coated, closed perfusion circuit.
What is the Optimal Anticoagulation in Patients with a Left Ventricular Assist Device?
The question addressed was whether there is an optimal antithrombotic management for patients supported with axial-flow left ventricular assist devices (LVADs).
Thrombelastography Change after Bridging to Left Ventricular Assist Device from Extracorporeal Membrane Oxygenation Patients
The cause of coagulopathy is seldom reported; therefore, the current prospective study was designed to compare the coagulation status between patients who received ECMO and bridged VAD thereafter.
Successful Use of Factor VIIa to Control Life-threatening Post-operative Haemorrhage in a Patient on Extra-Corporeal Membrane Oxygenation
We present the first case of the successful use of Factor VIIa to control bleeding in an adult patient on ECMO post cardiac surgery.
Effectiveness of Extra Corporeal Membrane Oxygenation When Conventional Ventilation Fails: Valuable Option or Vague Remedy?
In this article, we reviewed the usefulness of ECMO in patients with severe ARDS in the light of current evidence.
Outcomes in Children with Refractory Pneumonia Supported with Extracorporeal Membrane Oxygenation
To review the use of extracorporeal membrane oxygenation (ECMO) in severe paediatric pneumonia and evaluate factors that may affect efficacy of this treatment.
Efficacy of Veno-Arterial Extracorporeal Membrane Oxygenation in Acute Myocardial Infarction with Cardiogenic Shock
AIM: We analyzed the results of acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) necessitating extracorporeal membrane oxygenation (ECMO), and investigated […]
Gender Differences During Mechanical Circulatory Support
Long-term mechanical circulatory support (MCS) with ventricular assist devices (VADs) is now an acceptable option for patients with end-stage heart failure (HF).
A Stepwise Progression in the Treatment of Cardiogenic Shock
We present a case of a young woman with a massive anterior wall MI and subsequent cardiogenic shock who was treated with advanced mechanical circulatory support.