Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices.

IF 4.2 4区 医学 Q1 ANESTHESIOLOGY
Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-03-10 DOI:10.4097/kja.23169
Jeong-Jin Min, Yang Hyun Cho, Sangmin M Lee, Jong-Hwan Lee
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引用次数: 0

Abstract

With the growing number of patients undergoing left ventricular assist device (LVAD) implantation and improved survival in this population, more patients with LVADs are presenting for various types of non-cardiac surgery. Therefore, anesthesiologists need to understand the physiology and adequately prepare for the perioperative management of this unique patient population. This review addresses perioperative considerations and intraoperative management for the safe and successful management of patients with an LVAD undergoing non-cardiac surgery. Understanding the basic physiology of preload dependency and afterload sensitivity in these patients is essential. The main considerations include a collaborative preoperative multidisciplinary approach, perioperative care aimed at optimizing the intravascular volume and right ventricular function, and maintaining the afterload within recommended ranges for optimal LVAD function.

左心室辅助装置患者非心脏手术的麻醉管理。
随着接受左心室辅助装置(LVAD)植入术的患者人数不断增加以及该人群存活率的提高,越来越多的左心室辅助装置患者开始接受各种类型的非心脏手术。因此,麻醉医生需要了解这一特殊患者群体的生理情况,并为围术期管理做好充分准备。本综述将讨论围术期注意事项和术中管理,以便安全、成功地管理接受非心脏手术的 LVAD 患者。了解这些患者前负荷依赖性和后负荷敏感性的基本生理学至关重要。主要考虑因素包括术前多学科协作方法、旨在优化血管内容量和右心室功能的围手术期护理,以及将后负荷维持在建议范围内以实现 LVAD 的最佳功能。
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
CiteScore
6.20
自引率
6.90%
发文量
84
审稿时长
16 weeks
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