Expert Consensus on Early Postoperative Intensive Care Management After Left Ventricular Assist Device Implantation(2024)
10.3969/j.issn.1000-3614.2024.08.001
- VernacularTitle:中国左心室辅助装置植入术后早期重症监护管理专家共识(2024年)
- Author:
The Branch Mechanical Circulatory Support,Chinese Society of Biomedical Engineering
;
Chinese Expert Consensus Committee on Ventricular Assist Device
;
Shengshou HU
;
Xianqiang WANG
- Keywords:
left ventricular assist device;
advanced heart failure;
intensive care management;
hemodynamics;
right heart failure
- From:
Chinese Circulation Journal
2024;39(8):729-750
- CountryChina
- Language:Chinese
-
Abstract:
The left ventricular assist device(LVAD)is an effective treatment modality for patients with advanced heart failure and has been gradually promoted in China in recent years.This expert consensus summarizes the latest understanding and diagnostic and treatment standards for intensive care management of patients with LVAD during the early post-implantation period,including handover upon admission to the intensive care unit(ICU),ICU evaluation,ventricular assist device related parameters and issues,pump speed regulation,hemodynamic monitoring and treatment,mechanical ventilation management,coagulation management,anti-infective prevention and treatment,arrhythmia and right heart failure management aiming to guide standardized ICU management after LVAD implantation,reduce early postoperative mortality and incidence of complications,and improve long-term prognosis.
