Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist

The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs....

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Main Authors: Kai-Yin Hwang, Nian-Chih Hwang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2018;volume=21;issue=4;spage=351;epage=362;aulast=Hwang
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author Kai-Yin Hwang
Nian-Chih Hwang
author_facet Kai-Yin Hwang
Nian-Chih Hwang
author_sort Kai-Yin Hwang
collection DOAJ
description The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs. With improved survival, more of such patients now present for noncardiac surgery (NCS). This review, written for the general anesthesiologists, addresses the perioperative considerations when the patient undergoes NCS. For best outcomes, a multidisciplinary approach is essential in perioperative management of the patient.
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spelling doaj.art-2c1d1b049caf4882913ed0a4bfa9cf9d2022-12-22T01:55:14ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842018-01-0121435136210.4103/aca.ACA_239_17Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologistKai-Yin HwangNian-Chih HwangThe introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs. With improved survival, more of such patients now present for noncardiac surgery (NCS). This review, written for the general anesthesiologists, addresses the perioperative considerations when the patient undergoes NCS. For best outcomes, a multidisciplinary approach is essential in perioperative management of the patient.http://www.annals.in/article.asp?issn=0971-9784;year=2018;volume=21;issue=4;spage=351;epage=362;aulast=HwangAfterloadcontinuous-flownonpulsatilepower consumptionpreloadpulsatilepump speed
spellingShingle Kai-Yin Hwang
Nian-Chih Hwang
Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
Annals of Cardiac Anaesthesia
Afterload
continuous-flow
nonpulsatile
power consumption
preload
pulsatile
pump speed
title Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
title_full Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
title_fullStr Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
title_full_unstemmed Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
title_short Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist
title_sort facilitating noncardiac surgery for the patient with left ventricular assist device a guide for the anesthesiologist
topic Afterload
continuous-flow
nonpulsatile
power consumption
preload
pulsatile
pump speed
url http://www.annals.in/article.asp?issn=0971-9784;year=2018;volume=21;issue=4;spage=351;epage=362;aulast=Hwang
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