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

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)150-153
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume50
Issue number2
Publication statusPublished - 2001 Mar 31

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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