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The Fountain of Youth Will Not Last Forever: End of Life in Patients Receiving Mechanical Circulatory Support
Mary H Johnson1, Colleen Bass2, Sarah E Schroeder3
1Mary H. Johnson is VAD Educator, The Christ Hospital, 2123 Auburn Avenue, Suite 115, Cincinnati, OH (mary.johnson@thechristhospital.com).
Abstract:
Health care providers face a unique set of decision-making, assessment, and equipment challenges at the end of life of patients supported with a left ventricular assist device. The aim for this article is to assist the multidisciplinary team in caring for patients with a left ventricular assist device in all phases of end-of-life care. This review includes common causes of death for patients with a left ventricular assist device, assessment at end of life, physiological and palliative care considerations, withdrawal of left ventricular assist device support, and equipment considerations.
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