Accelerated Wean: A Novel 3 Day Berlin Heart Protocol in a Pediatric Patient.

IF 3.1 3区医学 Q2 ENGINEERING, BIOMEDICAL

ASAIO Journal Pub Date : 2024-09-26 DOI:10.1097/MAT.0000000000002318

Sujata Subramanian, Monica S Ponce-Rivera, Jeremy Affolter, Daniel Shmorhun, Richard Owens, Charles D Fraser, Lauren Glass

引用次数: 0

Abstract

We present the case of a 4 year old child who developed cardiogenic shock due to permanent junctional reciprocating tachycardia, requiring left ventricular assist device (LVAD) support. Despite the initial critical clinical presentation, successful myocardial recovery was achieved over 5 months, allowing for successful LVAD explantation. The patient's young age and behavioral issues were constraining factors for a prolonged LVAD wean trial. A modified wean protocol over a 3 day period with parameters for assessment of cardiac recovery before LVAD explantation is described.

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加速断奶：在儿科患者中实施的新颖的 3 天柏林心脏方案

我们介绍了一例因永久性交界性往复心动过速导致心源性休克，需要左心室辅助装置（LVAD）支持的 4 岁儿童的病例。尽管最初的临床表现十分危急，但经过 5 个月的治疗，患者的心肌得到了成功恢复，并成功进行了 LVAD 移植。患者年龄小、行为问题多，这些因素制约了长时间的 LVAD 拔管试验。本文介绍了一个经过修改的为期 3 天的断奶方案，其中包括在 LVAD 取出前评估心脏恢复情况的参数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ASAIO Journal 医学-工程：生物医学

CiteScore

6.60

自引率

7.10%

发文量

651

审稿时长

4-8 weeks

期刊介绍： ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.