2016
DOI: 10.4103/0971-9784.191545
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Perioperative management of patients with left ventricular assist devices undergoing noncardiac surgery

Abstract: 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 between 2009 and 2014. Demographic, perioperative, and procedural data collected included the type of procedure performe… Show more

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Cited by 20 publications
(10 citation statements)
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“…Nearly half of the patients with LVAD require endoscopy and these procedures can frequently be done safely under MAC. [ 81 ] If GA with endotracheal intubation is required for the surgical procedure, rapid sequence induction is recommended in patients with early models of LVADs which had preperitoneal placement. [ 70 ]…”
Section: Noncardiac Surgery For Patients With Left Ventricular Assistmentioning
confidence: 99%
“…Nearly half of the patients with LVAD require endoscopy and these procedures can frequently be done safely under MAC. [ 81 ] If GA with endotracheal intubation is required for the surgical procedure, rapid sequence induction is recommended in patients with early models of LVADs which had preperitoneal placement. [ 70 ]…”
Section: Noncardiac Surgery For Patients With Left Ventricular Assistmentioning
confidence: 99%
“…These NCS may be needed for managing complications arising from LVAD or otherwise. With studies showing that a trained non-cardiac anesthesiologist can safely manage these patients when they present for NCS, it is vital that all anesthesiologists understand the LVAD physiology and its implications in various surgeries 3 , 4 , 5 . This is even more relevant during the current pandemic where these complex cardiopulmonary interactions may be even more challenging in patients with COVID-19.…”
Section: Introductionmentioning
confidence: 99%
“…Left ventricular assist devices (LVADs) have become a viable therapeutic strategy for bridge to transplant (BTT) and destination therapy (DT) in the failing heart [1][2][3][4]. With increase in LVAD use and technical progress [5,6], more patients require non-cardiac surgery or develop complications that are leading to surgical interventions [7][8][9][10][11][12]. These complications are often related to bleeding, infection, or ischemia and may require a vascular surgical procedure [13,14].…”
Section: Introductionmentioning
confidence: 99%