TCI left ventricular assist device: nursing implications

The use of left ventricular devices as a bridge to transplantation has gained considerable acceptance in transplant centers nationwide. A new, innovative assist device that allows for greater patient mobility with a decreased incidence of patient complications is now being used at St. Luke's Episcopal Hospital to support the potential transplant recipient while waiting for a donor heart. The authors discuss the pathophysiology related to this type of assist device, along with two case studies and the nursing diagnoses indicated for patients using this unique device as a bridge to transplant.