相关实验视频
Updated: Jan 12, 2026

16:11
Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
36.0K
在长期植入左心室辅助器件支持的患者的骨科手术程序
Lily Qian1, Vasil Kukushliev2, Jerome Murray2
1Medical School University of Minnesota.
Orthopedic reviews
|November 7, 2025
概括
带有左心室辅助器件 (LVAD) 的患者的骨科手术带来了增加的风险,包括更长的住院时间和更高的输血需求. 然而,通过仔细的规划和跨学科的护理,这些必要的手术可以取得成功.
科学领域:
- 心脏病学 心脏病学
- 整形外科手术 整形外科手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 左心室辅助装置 (LVAD) 技术的进步使更多的患者能够接受非心脏手术.
- 越来越需要了解LVAD支持患者的骨科手术的结果.
研究的目的:
- 为了检查LVAD患者的骨科手术的结果.
- 为了确定这种患者群体的潜在风险和管理策略.
主要方法:
- 对40名LVAD患者进行47次骨科手术的回顾性病例系列分析.
- 收集的数据包括手术类型,LVAD植入以来的时间,住院时间,血液损失,输血需求,血栓栓塞事件和出院处置.
- 在10年 (2012-2022) 期间在II级创伤中心进行的分析.
主要成果:
- 在LVAD患者的骨科手术与更长的住院时间有关.
- 增加了对输血的需求,增加了急诊室的访问,并观察到再入院率.
- 在这个群体中,人们注意到对手术后康复援助的需求更大.
结论:
- 患有LVAD的患者的骨科手术与风险增加有关.
- 尽管存在风险,但这些程序是可行的,可能对患者的福祉至关重要.
- 优化患者护理和协作跨学科管理对于成功的结果至关重要.
相关概念视频
Cardiomyopathy V: Interprofessional Care
323
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...
323
Cardiomyopathy VII: Pre and Post Operative Nursing Management
268
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
268
Heart Failure VI: Adjunct Therapies
243
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.
243
Cardiac Catheterization III: Left Heart Catheterization
544
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
544

