Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Steinlechner, B; Zimpfer, D; Schiferer, A; Heinrich, N; Schlöglhofer, T; Rajek, A; Dworschak, M; Hiesmayr, M.
[Intensive care treatment of patients with left ventricular assist devices].
Med Klin Intensivmed Notfmed. 2015; 110(6):421-30
Doi: 10.1007/s00063-015-0063-6
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Zimpfer Daniel
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Apart from heart transplantation, implantation of a left ventricular assist device (LVAD) is the only established surgical treatment for therapy-refractory terminal left heart failure, The specific intensive care unit (ICU) management of these patients depends on the reason for the ICU admission and requires understanding of the characteristic hemodynamics of non-pulsatile LVADs as well as of the inherent problems. Knowledge about the specific features in hemodynamic monitoring, understanding of pump characteristics, management of anticoagulation and hemostasis and the handling of problems, such as right heart failure, aortic valve insufficiency and infections is essential. The management of unconscious LVAD patients can be challenging. It requires a sophisticated transthoracic and transesophageal echocardiography (TTE/TEE) examination, targeted laboratory diagnostics and consideration of possible alternative diagnoses. Professional interdisciplinary cooperation and exchange of current knowledge is crucial.
- Find related publications in this database (using NLM MeSH Indexing)
- Anticoagulants - adverse effects, therapeutic use
- Austria - administration & dosage
- Critical Care - methods
- Echocardiography, Transesophageal - administration & dosage
- Heart Failure - diagnosis, physiopathology, therapy
- Heart-Assist Devices - administration & dosage
- Hemodynamics - physiology
- Hemostasis - physiology
- Humans - administration & dosage
- Intensive Care Units - administration & dosage
- Interdisciplinary Communication - administration & dosage
- Intersectoral Collaboration - administration & dosage
- Monitoring, Physiologic - administration & dosage
- Pulsatile Flow - physiology
- Find related publications in this database (Keywords)
- Pulsatile flow
- Monitoring, physiological
- Hemodynamics
- Heart failure, end stage
- Heart failure, right sided