Anaesthesia for children with left ventricular assist devices undergoing non-cardiac surgery

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Ventricular assist devices and non-cardiac surgery

The use of ventricular assist devices has expanded significantly since their approval by the Food and Drug Administration in the United States in 1994. In addition to this, the prevalence of heart failure continues to increase. We aim to provide an overview of perioperative considerations and management of these patients for non-cardiac surgery. We performed a Medline search for the words "vent...

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Perioperative management of patients with left ventricular assist devices undergoing noncardiac surgery

AIM The aim of this study was to describe our institutional experience, primarily with general anesthesiologists consulting with cardiac anesthesiologists, caring for left ventricular assist device (LVAD) patients undergoing noncardiac surgery. MATERIALS AND METHODS This is a retrospective review of the population of patients with LVADs at a single institution undergoing noncardiac procedures...

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Patient selection for left-ventricular assist devices.

PURPOSE OF REVIEW Selection of appropriate candidates is one of the most important determinants of successful outcomes of left-ventricular assist device (LVAD) implantation. The review describes a step-by-step approach to evaluation of patients with end-stage heart failure for LVAD implantation. RECENT FINDINGS This article includes a summary of the recently published guidelines on candidate ...

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Levosimendan in Patients with Left Ventricular Dysfunction Undergoing Cardiac Surgery.

BACKGROUND Levosimendan is an inotropic agent that has been shown in small studies to prevent or treat the low cardiac output syndrome after cardiac surgery. METHODS In a multicenter, randomized, placebo-controlled, phase 3 trial, we evaluated the efficacy and safety of levosimendan in patients with a left ventricular ejection fraction of 35% or less who were undergoing cardiac surgery with t...

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ژورنال

عنوان ژورنال: BJA Education

سال: 2018

ISSN: 2058-5349

DOI: 10.1016/j.bjae.2018.09.002