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Related Concept Videos

Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

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Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
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Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

250
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
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Ventilatory Modes01:14

Ventilatory Modes

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Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
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Full support modes include controlled mechanical ventilation, continuous mandatory...
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Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

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Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
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Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Mechanical Circulatory Support in COVID-19.

Kari Gorder1, Wesley Young2, Navin K Kapur3

  • 1The Christ Hospital Heart and Vascular Institute, 2139 Auburn Avenue, Cincinnati OH 45219, USA.

Cardiology Clinics
|July 19, 2022
PubMed
Summary

Patients with COVID-19 and cardiopulmonary failure face high mortality. Mechanical circulatory support devices may help but require expert, multidisciplinary management due to significant risks and challenges.

Keywords:
Acute respiratory distress syndromeCOVID-19Cardiogenic shockExtracorporeal membrane oxygenationMechanical circulatory support

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Area of Science:

  • Critical Care Medicine
  • Cardiology
  • Infectious Diseases

Background:

  • Cardiopulmonary failure in COVID-19 patients is associated with high mortality despite aggressive treatments.
  • Mechanical circulatory support (MCS) devices offer potential therapeutic benefits for these critically ill patients.
  • The use of MCS in COVID-19 patients presents unique challenges and significant morbidity.

Purpose of the Study:

  • To emphasize the critical need for expert management of mechanical circulatory support devices in COVID-19 patients with cardiopulmonary failure.
  • To highlight the potential benefits and inherent risks associated with MCS in this complex population.
  • To advocate for a multidisciplinary approach in the application of MCS technology for severe COVID-19 cases.

Main Methods:

  • This abstract discusses the clinical considerations and management strategies for utilizing mechanical circulatory support devices.
  • It emphasizes a multidisciplinary approach involving teams experienced with MCS and the specific challenges of COVID-19.
  • The content is based on current understanding and clinical experience with MCS in critically ill patients.

Main Results:

  • Mechanical circulatory support devices can offer benefits to patients with COVID-19 and cardiopulmonary failure.
  • However, the application of these devices is associated with considerable morbidity and novel clinical challenges.
  • High mortality rates persist in this patient group despite aggressive care and MCS interventions.

Conclusions:

  • The use of mechanical circulatory support in COVID-19 patients with cardiopulmonary failure requires careful consideration and expert management.
  • A multidisciplinary team approach is essential for optimizing outcomes and mitigating risks.
  • Thoughtful and informed application of MCS technology is paramount for this vulnerable patient population.