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Abstract
Ventricular assist devices (VADs) have revolutionized longterm care for patients with congestive heart failure. These patients represent about 1% of the adults in the United States, considering that heart failure is a contributing factor in more than 250,000 deaths annually. It has been estimated that about 60,000 patients per year in the United States could benefit from heart transplantation or long-term mechanical support. Because of the short supply of donor hearts for transplant, assist devices have become of great value. At least four assist devices are clinically available, and two other devices are being investigated. Because cardiopulmonary bypass is required for implantation of these devices, anesthetizing these critically compromised patients requires extensive monitoring, skillful anesthetic management, and expert postoperative care.
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Affiliation(s)
- Ibrahim El-Magharbel
- Department of Anesthesiology, Santa Monica UCLA Medical Center, Los Angeles, CA 90095-1778, USA
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Szelkowski LA, Puri NK, Singh R, Massimiano PS. Current trends in preoperative, intraoperative, and postoperative care of the adult cardiac surgery patient. Curr Probl Surg 2015; 52:531-69. [DOI: 10.1067/j.cpsurg.2014.10.001] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Salgado Filho MF, Cordeiro VH, Mota S, Prota M, Lopez MN, de Lara RA. Comparison between the Hemodynamic Parameters of Rigid Laryngoscopy and Lighted Stylet in Patients with Coronariopathies. Rev Bras Anestesiol 2011; 61:447-55. [DOI: 10.1016/s0034-7094(11)70052-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2010] [Accepted: 01/17/2011] [Indexed: 12/01/2022] Open
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Filho MFS, Siciliano A, Diego LA, Miana LA, Salgado J. Transesophageal Echocardiography in Ross Procedure. Rev Bras Anestesiol 2011; 61:344-50. [DOI: 10.1016/s0034-7094(11)70040-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2010] [Accepted: 12/13/2010] [Indexed: 11/30/2022] Open
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Vroom MB. An Overview of Inotropic Agents. Semin Cardiothorac Vasc Anesth 2006; 10:246-52. [PMID: 16959760 DOI: 10.1177/1089253206291318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The use of inotropic agents has been surrounded by many controversies. Recent guidelines for the treatment of patients with chronic and acute heart failure have elucidated some of the issues, but many remain. As a result, a substantial variability in the use of agents between institutions and caregivers remains, which mainly results from the lack of uniform data in the literature. Prospective randomized trials with a long-term follow-up and sufficient power are clearly needed, and a number of trials are currently in progress.
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Affiliation(s)
- Margreeth B Vroom
- Department of Intensive Care, Academic Medical Center, Amsterdam, the Netherlands.
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Augoustides JG, Hosalkar HH, Gambone AJ, Berkowitz D, Floyd TF. Rapid and rational echocardiographic-assisted management of cardiogenic shock after coronary artery bypass surgery. J Cardiothorac Vasc Anesth 2005; 19:772-4. [PMID: 16326304 DOI: 10.1053/j.jvca.2004.11.045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2004] [Indexed: 11/11/2022]
Affiliation(s)
- John G Augoustides
- Department of Anesthesia, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA.
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