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Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart
08:49

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart

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Ventricular-assist device therapy in children

Koichi Yuki1, Ruchika Sharma, James DiNardo

  • 1Division of Cardiac Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Boston, MA 02115, USA. koichi.yuki@childrens.harvard.edu

Best Practice & Research. Clinical Anaesthesiology
|August 23, 2012
PubMed

Insights

Mechanical circulatory support devices, such as ventricular assist devices (VADs), are crucial for children with heart failure. This review covers VADs for pediatric patients and anesthesia management for VAD implantation and non-cardiac surgeries.

Area of Science:

  • Pediatric cardiology
  • Cardiovascular surgery
  • Anesthesiology

Background:

  • Mechanical circulatory support (MCS) is vital for managing pediatric circulatory failure.
  • Ventricular assist device (VAD) technology is rapidly advancing for pediatric applications.
  • Anesthetic management for VAD implantation and care in non-cardiac surgery is complex.

Purpose of the Study:

  • To review current and emerging VADs for pediatric patients.
  • To discuss anesthetic considerations for VAD implantation in children.
  • To outline anesthetic strategies for children with VADs undergoing non-cardiac surgery.

Main Methods:

  • Literature review of VADs in pediatric populations.
  • Analysis of anesthetic management protocols for VAD implantation.
  • Review of anesthetic guidelines for patients with VADs undergoing non-cardiac procedures.

Main Results:

  • Overview of available and investigational VADs suitable for pediatric use.
  • Key anesthetic techniques and monitoring strategies for VAD implantation.
  • Perioperative anesthetic management of VAD patients for non-cardiac surgery.

Conclusions:

  • VADs represent a critical therapeutic option for pediatric heart failure.
  • Specialized anesthetic care is essential for successful VAD implantation and management.
  • Optimized anesthetic protocols improve outcomes for VAD patients undergoing non-cardiac surgery.

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