Mechanical Circulatory Support  book cover
1st Edition

Mechanical Circulatory Support

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ISBN 9781570595301
Published January 1, 1999 by CRC Press
230 Pages 76 B/W Illustrations

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Book Description

This book is a concise, portable handbook that focuses on the clinical use of mechanical blood pumps. All aspects of mechanical circulatory support are addressed, including patient selection, preoperative preparation, operative management, anesthetic considerations and conduct of cardiopulmonary bypass, postop management including complications associated with blood pump use and long-term care and rehabilitation.

Table of Contents

1. Overview of Mechanical Circulatory Support /@Wayne E. Richenbacher -- Introduction -- Developmental Hurdles Encountered During Mechanical Blood Pump Development -- Management of Heart Failure -- Future of Mechanical Circulatory Support -- 2. Developing a Mechanical Blood Pump Program /@Wayne E. Richen bacher -- Mechanical Circulatory Support Team -- Selecting a Ventricular Assist System for Postcardiotomy Cardiogenic Shock -- Selecting a Ventricular Assist System for Use as a Bridge to Cardiac Transplantation -- Physical Plant Considerations -- Training -- 3. Intraaortic Balloon Counterpulsation /@Wayne E. Richenbacher -- Introduction -- Balloon Pump Design and Theory of Function -- Indications for Use -- Contraindications for Use -- Insertion Technique -- Management of the Intraaortic Balloon Pump Patient -- Transportation of the Patient Requiring Intraaortic Balloon Pump Support -- Weaning from Intraaortic Balloon Pump Support -- Intraaortic Balloon Pump Removal -- Complications of Intraaortic Balloon Counterpulsation -- 4. Extracorporeal Membrane Oxygenation (ECMO) Support for Cardiorespiratory Failure /Ralph E. Delius, Angela M. Otto -- Introduction -- Team Concepts -- Economic Considerations -- Circuit Design -- Location -- Venovenous Versus Venoarterial Bypass -- Indications for ECMO Support -- Cannulation Techniques -- Patient Management -- Weaning -- Decannulation -- Follow-up -- 5. Ventricular Assistance for Postcardiotomy Cardiogenic Shock /Wayne E. Richenbacher -- Introduction -- Patient Selection and Preparation -- Operative Management -- Postoperative Management -- Weaning from Mechanical Circulatory Support -- Device Removal -- Patient Care Following Ventricular Assist Device Removal -- 6. Ventricular Assistance as a Bridge to Cardiac Transplantation /Wayne E. Richenbacher -- Introduction -- Patient Selection and Primary Management -- Preoperative Preparation -- Ventricular Assist Device (VAD) Selection -- Operative Management -- Postoperative Management -- Preparation for Cardiac Transplantation -- Cardiac Transplantation -- Posttransplant Care and Management -- 7. Special Situations /Wayne E. Richenbacher -- Introduction -- Interhospital Transfer -- Ventricular Arrhythmias and Electrical Defibrillation -- Valvular Heart Disease -- Primary Right Ventricular Failure -- 8. Anesthesia for Patients with Ventricular Assist Devices /Javier H. Campos -- Introduction -- Anesthetic Management -- Induction and Maintenance of Anesthesia -- Placement of Left Ventricular Assist Device and Anesthetic Implications -- Placement of Right Ventricular Assist Device and Anesthetic Implications -- Placement of the Biventricular Assist Devices and Anesthetic Implications -- Aprotinin in Patients Requiring a Ventricular Assist Device -- Intraoperative Transesophageal Echocardiographie Evaluation in Patients with Ventricular Assist Devices -- Transport of Patients with Ventricular Assist Device to the Surgical Intensive Care Unit -- 9. Nursing Care of the Patient Requiring Mechanical Circulatory Support /Kelly L. Jones, Carolyn J. Laxson, Sarah C. Seemuth, Sara J. Vance -- Nursing Staff Education -- Preimplantation Psychosocial Assessment -- Postoperative Care -- Home Discharge Preparation -- Educating the Local Community -- 10. Complications of Mechanical Ventricular Assistance /Wayne E. Richenbacher -- Introduction -- Early Complications -- Late Complications -- 11. Device-Specific Considerations /Wayne E. Richenbacher, Shawn L. Jensen, Scott D. Niles, Jam es M. Ploessl -- Introduction -- Centrifugal Pump -- Abiomed BVS 5000 Biventricular Support System -- Thoratec VAD System -- Thermo Cardiosystems HeartMate LVAS -- Novacor N-100 LVAD -- 12. Financial Aspects of a Mechanical Circulatory Support Program /Jane E. Reedy -- Introduction -- Food and Drug Administration Approval Process -- Justification -- Financial Implications -- Reimbursement Overview -- Patient’s Coverage Policy -- Hospital -- Physician -- Medicare Coverage -- Reimbursement Strategies -- Conclusions -- Appendix -- Index.

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Richenbacher\, Wayne E.