Anesthetic management for left ventricular assist device implantation in patients waiting for heart transplantation

S. Nakayama; S. Inomata; H. Furukawa; N. Okubo; M. Miyabe; H. Toyooka

Anesthetic management for left ventricular assist device implantation in patients waiting for heart transplantation

S. Nakayama, S. Inomata, H. Furukawa, N. Okubo, M. Miyabe, H. Toyooka

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Abstract

We report the anesthetic management of patients with dilated cardiomyopathy who underwent left ventricular assist device implantation (LVAD). Anesthesia was induced and maintained with midazolam and fentanyl. Transesophageal echocardiography (TEE) and a PA catheter were useful for hemodynamic monitoring and management of the patients. Furthermore, TEE is useful for the early detection of inflow of the air which is absorbed by negative pressure derived from high LVAD support pressure. On starting LVAD support, evaluation of right ventricular function and treatment for right ventricular failure were important and necessary for the patients. Added to conventional therapy using catecholamines, inhaled nitric oxide may provide a favorable effect for right ventricular failure.

Original language	English
Pages (from-to)	150-153
Number of pages	4
Journal	Japanese Journal of Anesthesiology
Volume	50
Issue number	2
Publication status	Published - 2001 Mar 31

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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AU - Nakayama, S.

AU - Inomata, S.

AU - Furukawa, H.

AU - Okubo, N.

AU - Miyabe, M.

AU - Toyooka, H.

PY - 2001/3/31

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N2 - We report the anesthetic management of patients with dilated cardiomyopathy who underwent left ventricular assist device implantation (LVAD). Anesthesia was induced and maintained with midazolam and fentanyl. Transesophageal echocardiography (TEE) and a PA catheter were useful for hemodynamic monitoring and management of the patients. Furthermore, TEE is useful for the early detection of inflow of the air which is absorbed by negative pressure derived from high LVAD support pressure. On starting LVAD support, evaluation of right ventricular function and treatment for right ventricular failure were important and necessary for the patients. Added to conventional therapy using catecholamines, inhaled nitric oxide may provide a favorable effect for right ventricular failure.

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