Intensive care of the pediatric ventricular assist device patient. World J Pediatr Congenit Heart Surg 2012 Jan 01;3(1):58-66
Date
01/01/2012Pubmed ID
23804685DOI
10.1177/2150135111420888Scopus ID
2-s2.0-84888270824 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
Utilization of ventricular assist devices (VADs) in children is increasing, as is the complexity of patients supported. We review the intensive care management of pediatric patients with VAD in the perioperative and rehabilitation phases, highlighting the technical aspects and physiology of VADs which impact care. Indications for VAD placement and the preoperative assessment of risk are discussed. Specific aspects of postoperative and long-term care including device troubleshooting, hemostasis and anticoagulation, support of the right ventricle, incidence and prevention of neurologic injury, and other complications are reviewed.