...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of cardiac surgery. >Developing a comprehensive mechanical support program.
【24h】

Developing a comprehensive mechanical support program.

机译：制定全面的机械支持计划。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

As cardiac surgery centers appreciate that ventricular assist devices (VAD) can dramatically impact patient survival as a bridge to transplant or recovery, and possibly permanent therapy, increasing numbers will desire to establish mechanical support programs. A number of vital elements must be put in place in order to operate a successful mechanical support program. Of utmost importance is the assembly of a dedicated team focused on comprehensive care of critically ill patients in need of circulatory support. An ongoing commitment from anesthesiologists, cardiologists, nephrologists, and other support staff is essential. Selection of complementary assist devices should be made to cover the spectrum of required support scenarios, both short- and long-term. Outpatient therapy has become increasingly important in mechanical cardiac assistance and establishment of an office where "LVAD coordinators" see outpatients facilitates this aspect of the program. Critically ill patients in need of cardiac assistance may benefit from specialized medical therapies such as: (1) intravenous arginine vasopressin for vasodilatory hypotension; (2) inhaled nitric oxide for right heart failure; (3) aprotinin to reduce hemorrhage; and (4) early enteral feeding in an effort to reduce infectious complications and improve rehabilitation following VAD implantation. A regional network with spoke hospitals centered around a hub hospital with long-term VAD and heart transplant programs can improve survival of patients with postcardiotomy cardiogenic shock via early transfer to the hub hospital. In this article, we describe the components of our mechanical support program that have allowed us to successfully support patients with heart failure in need of circulatory support.
机译：随着心脏外科手术中心认识到，心室辅助设备（VAD）可以极大地影响患者的生存，将其作为移植或康复以及可能进行永久治疗的桥梁，越来越多的人希望建立机械支持计划。为了实施成功的机械支持程序，必须放置许多重要要素。最重要的是要组建一个专门小组，重点关注需要循环支持的重症患者的全面护理。麻醉师，心脏病专家，肾病专家和其他支持人员的持续承诺至关重要。应该选择辅助辅助设备，以涵盖短期和长期所需的支持方案的范围。门诊治疗在机械性心脏辅助方面日益重要，并且在“ LVAD协调员”看到门诊人员协助该计划的地方设立办公室的过程中。需要心脏帮助的重症患者可受益于专门的医学疗法，例如：（1）静脉注射精氨酸加压素治疗血管扩张性低血压; （2）吸入一氧化氮治疗右心衰竭; （3）抑肽酶减少出血; （4）尽早肠内喂养，以减少感染并发症并改善VAD植入后的康复。一个以区域医院为中心的区域网络，该中心以长期的VAD和心脏移植计划为中心的枢纽医院为中心，可以通过尽早转移到枢纽医院，对患有心源性休克的患者提高生存率。在本文中，我们描述了机械支持计划的组成部分，这些组件使我们能够成功地为需要循环支持的心力衰竭患者提供支持。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号