Cardiopulmonary Resuscitation in Patients With Left Ventricular Assist Devices

被引:0
作者
Vierecke, Juliane [1 ]
Defilippis, Ersilia M. [2 ]
Givertz, Michael M. [3 ]
机构
[1] Univ Cincinnati, Dept Med, Cincinnati, OH USA
[2] Columbia Univ, Irving Med Ctr, Div Cardiol, New York, NY USA
[3] Harvard Med Sch, Brigham & Womens Hosp, Div Cardiovasc Med, Boston, MA USA
关键词
cardiac arrest; cardiopulmonary resuscitation; emergency care; ventricular assist device; MECHANICAL CIRCULATORY SUPPORT; HEART;
D O I
10.1016/j.jchf.2024.08.021
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
n a bustling emergency room, a 62-year-old man with a HeartMate 3 (Abbott Cardiovascular) left ventricular assist device (LVAD) suddenly collapses, and a loud, continuous alarm sounds. The patient, who received an LVAD as lifelong therapy for end-stage heart failure (HF) 6 months earlier, was brought in by his family due to complaints of dizziness and shortness of breath. As the medical team rushes to initiate cardiopulmonary resuscitation (CPR), they quickly realize that usual protocols may not apply. The absence of a palpable pulse and the presence of the mechanical pump complicate their assessment and intervention strategies. Nobody is sure whether chest compressions can be safely performed. This real-life scenario underscores the unique challenges faced by health care providers when performing CPR in patients on LVAD support. In this viewpoint, we discuss the specialized knowledge, protocols, and unique physiological and mechanical considerations involved in performing CPR in this setting. Understanding these differences is crucial for ensuring effective resuscitation efforts, improving patient outcomes, and minimizing potential complications during CPR in this patient population.
引用
收藏
页码:1931 / 1938
页数:8
相关论文
共 17 条
[11]   Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support A Scientific Statement From the American Heart Association [J].
Peberdy, Mary Ann ;
Gluck, Jason A. ;
Ornato, Joseph P. ;
Bermudez, Christian A. ;
Griffin, Russell E. ;
Kasirajan, Vigneshwar ;
Kerber, Richard E. ;
Lewis, Eldrin F. ;
Link, Mark S. ;
Miller, Corinne ;
Teuteberg, Jeffrey J. ;
Thiagarajan, Ravi ;
Weiss, Robert M. ;
O'Neil, Brian .
CIRCULATION, 2017, 135 (24) :E1115-E1134
[12]   The 2023 International Society for Heart and Lung Transplantation Guidelines for Mechanical Circulatory Support: A 10-Year Update [J].
Saeed, Diyar ;
Feldman, David ;
El Banayosy, Aly ;
Birks, Emma ;
Blume, Elizabeth ;
Cowger, Jennifer ;
Hayward, Christopher ;
Jorde, Ulrich ;
Kremer, Jamila ;
MacGowan, Guy ;
Maltais, Simon ;
Maybaum, Simon ;
Mehra, Mandeep ;
Shah, Keyur B. ;
Mohacsi, Paul ;
Schweiger, Martin ;
Schroeder, Sarah E. ;
Shah, Palak ;
Slepian, Marvin ;
Tops, Laurens F. ;
Alvarez, Paulino ;
Arabia, Francisco ;
Aslam, Saima ;
Benson-Louis, Louis ;
Birati, Edo ;
Buchholz, Holger W. ;
Cedars, Ari ;
Christensen, Dawn ;
Ciarka, Agnieszka ;
Coglianese, Erin ;
Cogswell, Rebecca ;
Cook, Jennifer ;
Copeland, Jack ;
Costello, Jose Gonzalez ;
Drakos, Stavros G. ;
Eghtesady, Pirooz ;
Elliot, Tonya ;
Estep, Jerry D. ;
Eulert-Grehn, Jaime-Juergen ;
Fabrizio, De Rita ;
Garbade, Jens ;
Gelow, Jill ;
Guglin, Maya ;
Hernandez-Montfort, Jaime ;
Horstmanshof, Doug ;
John, Ranjit ;
Kanwar, Manreet ;
Khaliel, Feras ;
Kim, Gene ;
Kumar, Sachin .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2023, 42 (07) :E1-E222
[13]   Safety of Chest Compressions in Patients With a Durable Left Ventricular Assist Device [J].
Senman, Balimkiz ;
Pierce, Jacob ;
Kittipibul, Veraprapas ;
Barnes, Stephanie ;
Whitacre, Meredith ;
Katz, Jason N. .
JACC-HEART FAILURE, 2024, 12 (11) :1928-1930
[14]   Chest compressions may be safe in arresting patients with left ventricular assist devices (LVADs) [J].
Shinar, Zachary ;
Bellezzo, Joseph ;
Stahovich, Marcia ;
Cheskes, Sheldon ;
Chillcott, Suzanne ;
Dembitsky, Walter .
RESUSCITATION, 2014, 85 (05) :702-704
[15]  
Thoratec Corporation, 2017, HeartMate 3 Left Ventricular Assist System: Instructions for Use
[16]   Trends and Outcomes of Left Ventricular Assist Device Therapy [J].
Varshney, Anubodh S. ;
DeFilippis, Ersilia M. ;
Cowger, Jennifer A. ;
Netuka, Ivan ;
Pinney, Sean P. ;
Givertz, Michael M. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2022, 79 (11) :1092-1107
[17]   Deactivation of Left Ventricular Assist Devices at the End of Life [J].
Zaidi, Danish ;
Kirkpatrick, James N. ;
Fedson, Savitri E. ;
Hull, Sarah C. .
JACC-HEART FAILURE, 2023, 11 (11) :1481-1490