Richards Nancy M, Stahl Mary A
Saint Luke's Hospital, Kansas City, MO 64111, USA.
Crit Care Nurs Q. 2007 Apr-Jun;30(2):104-18; quiz 119-20. doi: 10.1097/01.CNQ.0000264254.90499.27.
Ventricular assist devices (VADs) play an increasingly important role in the care of cardiovascular patients. Developed initially for support of cardiothoracic surgery patients experiencing difficulty in weaning from cardiopulmonary bypass, these devices have been used extensively as a bridge to cardiac transplantation for patients who are failing on medical management. Research has demonstrated the effectiveness of a VAD as destination therapy, providing a permanent means of support for patients with advanced heart failure who are not eligible for heart transplantation. Applications for VADs are expanding and advances in technology occurring to support these new applications. This article provides an overview of current and emerging VADs and nursing management of the VAD patient.
心室辅助装置（VADs）在心血管疾病患者的护理中发挥着越来越重要的作用。这些装置最初是为支持心胸外科手术中难以脱离体外循环的患者而开发的，现已广泛用作药物治疗效果不佳的患者心脏移植的桥梁。研究表明，VAD作为终末期治疗手段是有效的，为不符合心脏移植条件的晚期心力衰竭患者提供了一种永久性的支持方式。VAD的应用正在不断扩大，同时技术也在不断进步以支持这些新应用。本文概述了当前和新兴的VAD以及VAD患者的护理管理。
