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ACEP Now: Vol 36 – No 08 – August 2017(click for larger image) Table 2: LVAD Abnormalities
The successful use of LVADs makes recognizing and understanding their most frequent complications increasingly important for emergency physicians. See Table 2 for a summary of LVAD abnormalities.
Dr. Paez Perez and Dr. McGovern are emergency medicine residents at St. Josephs Regional Medical Center in Paterson, New Jersey.
References
- Kirklin JK, Naftel DC, Pagani FD, et al. Sixth INTERMACS annual report: a 10,000-patient database. J Heart Lung Transplant. 2014;33(6):555-564.
- Robertson J, Long B, Koyfman A. The emergency management of ventricular assist devices. Am J Emerg Med. 2016;34(7):1294-1301.
- Partyka C, Taylor B. Review article: ventricular assist devices in the emergency department. Emerg Med Australas. 2014;26(2):104-112.
- Flores AS, Essandoh M, Yerington GC, et al. Echocardiographic assessment for ventricular assist device placement. J Thorac Dis. 2015;7(12):2139-2150.
- Klodell CT, Staples ED, Aranda JM Jr, et al. (2006), Managing the post-left ventricular assist device patient. Congest Heart Fail. 2006;12(1):41-45.
- Nienaber JJ, Kusne S, Riaz T, et al. Clinical manifestations and management of left ventricular assist device-associated infections. Clin Infect Dis. 2013;57(10):1438-1448.
- Butterfield M, Derr C, Keffeler J, et al. Organized cardiac activity in an awake LVAD patient during ventricular fibrillation. Am J Emerg Med. 2017;35(7):1041.e1-1041.e3.
- Shinar Z, Bellezzo J, Stahovich M, et al. Chest compressions may be safe in arresting patients with left ventricular assist devices (LVADs). Resuscitation. 2014;85(5):702-704.
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5 Responses to “How to Manage Emergency Department Patients with Left Ventricular Assist Devices”
August 23, 2017
Z BasThis is a great review. Thank you so much. I feel like I now have an approach to LVAD patients, should they ever come into my ED.
August 27, 2017
RobErrata: Under Bleeding, should read “arteriovenous malformations” in the GI tract.
Great article!
August 28, 2017
Dawn Antoline-WangThank you, we’ve made the correction.
August 31, 2017
CRThanks for a great concise review!
October 14, 2017
Kevin WebbThank you for the great review. I will forward this to our Paramedics.