Perioperative management of a patient with an axial-flow rotary ventricular assist device for laparoscopic ileo-colectomy

Subramanian Sathishkumar, R. Kodavatiganti, S. Plummer, K. High

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

The use of mechanical circulatory support devices as a bridge to transplant or destination therapy decreases mortality, improves quality of life, and functional status. The paucity of clinical data and the challenges faced by noncardiac anesthesiologists warrant us to present the perioperative care of a patient with a HeartMate II (Thoratec Corp. Pleasanton, CA, USA) left ventricular assist device (LVAD), who underwent a successful major laparoscopic abdominal surgery. Key issues highlighted are the limitations of oxygen saturation (SpO 2) monitoring, accuracy of blood pressure (BP) measurement, and the potential usefulness of intraoperative transesophageal echocardiography (TEE). The hemodynamic changes, impact on the LVAD function during laparoscopic surgery, and the multidisciplinary approach are addressed.

Original languageEnglish (US)
Pages (from-to)101-105
Number of pages5
JournalJournal of Anaesthesiology Clinical Pharmacology
Volume28
Issue number1
DOIs
StatePublished - Jan 2012

All Science Journal Classification (ASJC) codes

  • Pharmacology, Toxicology and Pharmaceutics(all)
  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

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