为左心室辅助装置患者实施非心脏手术：麻醉医生指南
Facilitating noncardiac surgery for the patient with left ventricular assist device: A guide for the anesthesiologist.
作者信息
Hwang Kai-Yin, Hwang Nian-Chih
机构信息
Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, Singapore 169608, Singapore.
Department of Anaesthesiology, Singapore General Hospital, 1 Hospital Drive, Singapore 169608; Department of Cardiothoracic Anaesthesia, National Heart Centre, Singapore, 5 Hospital Drive, Singapore 169609, Singapore.
出版信息
Ann Card Anaesth. 2018 Oct-Dec;21(4):351-362. doi: 10.4103/aca.ACA_239_17.
Abstract
The introduction of left ventricular assist device (LVAD) has improved survival rates for patients with end-stage heart failure. Two categories of VADs exist: one generates pulsatile flow and the other produces nonpulsatile continuous flow. Survival is better for patients with continuous-flow LVADs. With improved survival, more of such patients now present for noncardiac surgery (NCS). This review, written for the general anesthesiologists, addresses the perioperative considerations when the patient undergoes NCS. For best outcomes, a multidisciplinary approach is essential in perioperative management of the patient.
摘要
左心室辅助装置（LVAD）的引入提高了终末期心力衰竭患者的生存率。VAD 分为两类：一类产生搏动性血流，另一类产生非搏动性连续血流。接受连续血流 LVAD 的患者生存率更高。随着生存率的提高，现在有更多此类患者接受非心脏手术（NCS）。这篇为普通麻醉医生撰写的综述探讨了患者接受 NCS 时的围手术期注意事项。为了获得最佳结果，多学科方法在患者围手术期管理中至关重要。
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