ESC 关于 LVAD 支持患者管理的立场文件之非 LVAD 专科医疗保健提供者部分 3：医院内和出院时。
HFA of the ESC position paper on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider Part 3: at the hospital and discharge.
机构信息
Department of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Heart Failure Unit, Cardiology Department, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
ESC Heart Fail. 2021 Dec;8(6):4425-4443. doi: 10.1002/ehf2.13590. Epub 2021 Sep 28.
Abstract
The growing population of left ventricular assist device (LVAD)-supported patients increases the probability of an LVAD- supported patient hospitalized in the internal or surgical wards with certain expected device related, and patient-device interaction complication as well as with any other comorbidities requiring hospitalization. In this third part of the trilogy on the management of LVAD-supported patients for the non-LVAD specialist healthcare provider, definitions and structured approach to the hospitalized LVAD-supported patient are presented including blood pressure assessment, medical therapy of the LVAD supported patient, and challenges related to anaesthesia and non-cardiac surgical interventions. Finally, important aspects to consider when discharging an LVAD patient home and palliative and end-of-life approaches are described.
摘要
随着越来越多的左心室辅助装置（LVAD）支持的患者，在内部或外科病房住院的 LVAD 支持的患者的概率增加，这些患者可能会出现与设备相关的预期并发症，以及任何其他需要住院的合并症。在这篇关于非 LVAD 专科医疗保健提供者管理 LVAD 支持患者的三部曲的第三部分中，介绍了 LVAD 支持患者的住院定义和结构化方法，包括血压评估、LVAD 支持患者的药物治疗，以及与麻醉和非心脏手术干预相关的挑战。最后，描述了 LVAD 患者出院时和姑息治疗及临终关怀方法需要考虑的重要方面。
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