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

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

SUBMITTER: Min JJ 

PROVIDER: S-EPMC10982535 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature