A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
Left ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk facto...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-06-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739347 |
| _version_ | 1798041859264610304 |
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| author | Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders |
| author_facet | Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders |
| author_sort | Nimesh Patel |
| collection | DOAJ |
| description | Left ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk factors, some of which include acquired coagulopathies, anticoagulation status, and hemodynamic instability. Thus, performing noncardiac surgeries in patients with an LVAD requires a precise and complex surgical strategy with optimal communication among the surgical team. Therefore, knowledge of best perioperative approaches for patients with LVAD is urgently needed. Here, we present a detailed perioperative surgical approach in the case of a brain tumor resection for a 62-year-old patient with an LVAD whose course was complicated with a brain hematoma. Critical details include key aspects of monitoring patient hemodynamic stability and handling of anesthesia, patient positioning, and antiplatelet and anticoagulation drug therapy. This case highlights the importance for anesthesiologists to be well informed about perioperative LVAD management, as well as common complications that they may encounter. |
| first_indexed | 2024-04-11T22:27:27Z |
| format | Article |
| id | doaj.art-73a7a1af56aa454db1eee6f210ac0303 |
| institution | Directory Open Access Journal |
| issn | 2348-0548 2348-926X |
| language | English |
| last_indexed | 2024-04-11T22:27:27Z |
| publishDate | 2022-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj.art-73a7a1af56aa454db1eee6f210ac03032022-12-22T03:59:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2022-06-01090211511810.1055/s-0041-1739347A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist DeviceNimesh Patel0Mohamed Fayed1Ahmed Ahmed2Akshatha G. Rao3Derrick Williams4Joseph A. Sanders5Department of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesDepartment of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesDepartment of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesDepartment of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesDepartment of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesDepartment of Anesthesiology, Henry Ford Hospital, Detroit, Michigan, United StatesLeft ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk factors, some of which include acquired coagulopathies, anticoagulation status, and hemodynamic instability. Thus, performing noncardiac surgeries in patients with an LVAD requires a precise and complex surgical strategy with optimal communication among the surgical team. Therefore, knowledge of best perioperative approaches for patients with LVAD is urgently needed. Here, we present a detailed perioperative surgical approach in the case of a brain tumor resection for a 62-year-old patient with an LVAD whose course was complicated with a brain hematoma. Critical details include key aspects of monitoring patient hemodynamic stability and handling of anesthesia, patient positioning, and antiplatelet and anticoagulation drug therapy. This case highlights the importance for anesthesiologists to be well informed about perioperative LVAD management, as well as common complications that they may encounter.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739347brain tumor resectioncoagulopathyleft ventricular assist devicehematoma |
| spellingShingle | Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device Journal of Neuroanaesthesiology and Critical Care brain tumor resection coagulopathy left ventricular assist device hematoma |
| title | A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device |
| title_full | A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device |
| title_fullStr | A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device |
| title_full_unstemmed | A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device |
| title_short | A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device |
| title_sort | complicated course of brain tumor resection in a patient with a left ventricular assist device |
| topic | brain tumor resection coagulopathy left ventricular assist device hematoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739347 |
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