Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices
With the growing number of patients undergoing left ventricular assist device (LVAD) implantation and improved survival in this population, more patients with LVADs are presenting for various types of non-cardiac surgery. Therefore, anesthesiologists need to understand the physiology and adequately...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2024-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kja-23169.pdf |
| _version_ | 1827302560156876800 |
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| author | Jeong-Jin Min Yang Hyun Cho Sangmin M. Lee Jong-Hwan Lee |
| author_facet | Jeong-Jin Min Yang Hyun Cho Sangmin M. Lee Jong-Hwan Lee |
| author_sort | Jeong-Jin Min |
| collection | DOAJ |
| description | With the growing number of patients undergoing left ventricular assist device (LVAD) implantation and improved survival in this population, more patients with LVADs are presenting for various types of non-cardiac surgery. Therefore, anesthesiologists need to understand the physiology and adequately prepare for the perioperative management of this unique patient population. This review addresses perioperative considerations and intraoperative management for the safe and successful management of patients with an LVAD undergoing non-cardiac surgery. Understanding the basic physiology of preload dependency and afterload sensitivity in these patients is essential. The main considerations include a collaborative preoperative multidisciplinary approach, perioperative care aimed at optimizing the intravascular volume and right ventricular function, and maintaining the afterload within recommended ranges for optimal LVAD function. |
| first_indexed | 2024-04-24T16:46:16Z |
| format | Article |
| id | doaj.art-5f1e310f19c04a73a8a78c765de22e04 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-04-24T16:46:16Z |
| publishDate | 2024-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-5f1e310f19c04a73a8a78c765de22e042024-03-29T07:56:40ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632024-04-0177217518410.4097/kja.231698888Anesthetic management for non-cardiac surgery in patients with left ventricular assist devicesJeong-Jin Min0Yang Hyun Cho1Sangmin M. Lee2Jong-Hwan Lee3 Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Thoracic & Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaWith the growing number of patients undergoing left ventricular assist device (LVAD) implantation and improved survival in this population, more patients with LVADs are presenting for various types of non-cardiac surgery. Therefore, anesthesiologists need to understand the physiology and adequately prepare for the perioperative management of this unique patient population. This review addresses perioperative considerations and intraoperative management for the safe and successful management of patients with an LVAD undergoing non-cardiac surgery. Understanding the basic physiology of preload dependency and afterload sensitivity in these patients is essential. The main considerations include a collaborative preoperative multidisciplinary approach, perioperative care aimed at optimizing the intravascular volume and right ventricular function, and maintaining the afterload within recommended ranges for optimal LVAD function.http://ekja.org/upload/pdf/kja-23169.pdfanesthesiageneral anesthesiaheart-assist devicesintraoperative monitoringsurgical proceduresventricle-assist device |
| spellingShingle | Jeong-Jin Min Yang Hyun Cho Sangmin M. Lee Jong-Hwan Lee Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices Korean Journal of Anesthesiology anesthesia general anesthesia heart-assist devices intraoperative monitoring surgical procedures ventricle-assist device |
| title | Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices |
| title_full | Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices |
| title_fullStr | Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices |
| title_full_unstemmed | Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices |
| title_short | Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices |
| title_sort | anesthetic management for non cardiac surgery in patients with left ventricular assist devices |
| topic | anesthesia general anesthesia heart-assist devices intraoperative monitoring surgical procedures ventricle-assist device |
| url | http://ekja.org/upload/pdf/kja-23169.pdf |
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