Related Experiment Video

Updated: Jan 29, 2026

In Vitro Thrombosis Test for Ventricular Assist Devices
09:15

In Vitro Thrombosis Test for Ventricular Assist Devices

Published on: March 21, 2025

1.2K

Pediatric ventricular assist devices: Bridge to a new era of perioperative care

Manchula Navaratnam1, Katsuhide Maeda2, Seth A Hollander3

  • 1Pediatric Anesthesia, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, California.

Paediatric Anaesthesia
|February 14, 2019
PubMed

Insights

Pediatric ventricular assist devices (VADs) are becoming standard for end-stage heart failure in children. Anesthesiologists must understand VADs, especially continuous-flow types, for perioperative care in these complex patients.

Area of Science:

  • Pediatric cardiology
  • Cardiovascular surgery
  • Anesthesiology

Background:

  • Ventricular assist devices (VADs) are increasingly used for pediatric end-stage heart failure.
  • Continuous-flow (CF) VADs and management of congenital heart disease (CHD) are significant recent developments.
  • Anesthesiologists will see more pediatric patients requiring VADs, related procedures, or heart transplantation.

Purpose of the Study:

  • To review the current state of pediatric VADs, focusing on continuous-flow devices.
  • To discuss VAD support in children with congenital heart disease.
  • To outline perioperative management strategies for pediatric VAD patients.

Main Methods:

  • Review of current literature on pediatric VADs.
  • Focus on continuous-flow devices and their application in congenital heart disease.
  • Discussion of perioperative considerations for both pulsatile and continuous-flow VADs.

Main Results:

  • Continuous-flow VADs are increasingly utilized in pediatric patients.
  • Experience with VADs in children with congenital heart disease is growing.
  • Outpatient management of pediatric VADs is becoming more common.

Conclusions:

  • Anesthesiologists require a thorough understanding of pediatric VADs for effective perioperative care.
  • Management strategies must account for the interaction between patient physiology and VAD support.
  • This review provides a framework for managing pediatric VAD patients, particularly those with CHD and on CF devices.

Keywords:
blood transfusioncardiac surgerycardiac transplantationcoagulationcongenital heart diseasehematology

More Related Videos

Use of Two Intracorporeal Ventricular Assist Devices As a Total Artificial Heart08:49

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

Published on: May 11, 2018

9.9K
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.7K

Related Concept Videos

Design Example: Strain Gauge Bridge or Wheatstone Bridge01:15

Design Example: Strain Gauge Bridge or Wheatstone Bridge

The utilization of strain gauges as transducers for converting mechanical strain into electrical signals is a common practice in various engineering applications. These strain gauges are frequently integrated into Wheatstone bridge circuits to accurately measure parameters such as force or pressure. Within this context, each element within the circuit exhibits a resistance that undergoes subtle variations when subjected to mechanical strain. The primary objective is to convert minuscule...
1.0K
Wheatstone Bridge01:29

Wheatstone Bridge

An ohmmeter is a resistance-measuring device. It works by applying a voltage to a resistor of unknown resistance and measuring the current across the resistor. The resistance value is deduced using Ohm's law. Usually, the standard configuration of an ohmmeter comprises a voltmeter or an ammeter. However, such configurations are limited in accuracy because the meters alter the voltage applied to the resistor and the current that flows through it.
Thus, for accurate resistance measurements, a...
1.2K
Bridge rectifier01:24

Bridge rectifier

The bridge rectifier is essential in electronics for efficiently converting alternating current (AC) to direct current (DC). Comprised of four diodes configured in a bridge layout, this rectifier effectively processes both the positive and negative halves of the AC waveform, making it superior to half-wave and full-wave center-tapped rectifiers in terms of voltage regulation and output stability.
Operationally, the bridge rectifier allows current flow through two of its diodes during each...
1.5K
Cross-bridge Cycle01:26

Cross-bridge Cycle

As muscle contracts, the overlap between the thin and thick filaments increases, decreasing the length of the sarcomere—the contractile unit of the muscle—using energy in the form of ATP. At the molecular level, this is a cyclic, multistep process that involves binding and hydrolysis of ATP, and movement of actin by myosin.
122.6K
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K