Dec 22, 2015

Ventricular assist devices and non-cardiac surgery

BMC Anesthesiology
S Michael RobertsSubramanian Sathishkumar

Abstract

The use of ventricular assist devices has expanded significantly since their approval by the Food and Drug Administration in the United States in 1994. In addition to this, the prevalence of heart failure continues to increase. We aim to provide an overview of perioperative considerations and management of these patients for non-cardiac surgery. We performed a Medline search for the words "ventricular assist device," "Heartmate" and "HeartWare" to gain an overview of the literature surrounding these devices, and chose studies with relevance to the stated aims of this review. Patients with ventricular assist devices are presenting more frequently for surgery not related to their cardiac pathology. As the mechanically supported population grows, general anesthesiologists will be faced with managing these patients, possibly outside of the tertiary care setting. The unique challenges of this patient population can best be addressed by a thorough understanding of ventricular assist device physiology and a multidisciplinary approach to care.

Mentioned in this Paper

Study
Left Ventricular Structure
Ventricular Dysfunction, Left
Discipline of Heart Surgery
Artificial Ventricle
Medical Devices
Cardiac Surgery Procedures
Heart-Assist Devices
Anesthesiology
Literature

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