Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

Bowles Christopher T.; Hards Rachel; Wrightson Neil; Lincoln Paul; Kore Shishir; Marley Laura; Dalzell Jonathan R.; Raj Binu; Baker Tracey A.; Goodwin Diane; Carroll Petra; Pateman Jane; Black John J. M.; Kattenhorn Paul; Faulkner Mark; Parameshwar Jayan; Butcher Charles; Mason Mark; Rosenberg Alexander; McGovern Ian; Weymann Alexander; Gwinnutt Carl; Banner Nicholas R.; Schueler Stephan; Simon Andre R.; Pitcher David W.

首页> 外文期刊>Emergency medicine journal: EMJ >Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

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Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

机译：引导救护车临床医生在植入旋转左心室辅助装置患者急救中的施工中的算法

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Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients.

机译：左心室辅助装置（LVAD）治疗的进展导致社区中的成人LVAD受体数量越来越多。然而，器件失败，中风，出血，LVAD血栓形成和全身感染可能是危及生命的紧急情况。目前，在六个英国移植中心植入了四个LVAD系统，每个系统将特定于设备的信息提供给当地的紧急服务。这导致了不一致的可用性和信息的内容与延迟或不当决策的风险。为了改善患者安全，英国医疗保健专业人员的财团，其中LVAD专业知识发达了普遍适用的预孢子术应急算法。指导在标准的ABCDE方法中尽可能地符号，以评估重症病患者的评估。

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《Emergency medicine journal: EMJ》 |2017年第12期|共9页
作者
Bowles Christopher T.; Hards Rachel; Wrightson Neil; Lincoln Paul; Kore Shishir; Marley Laura; Dalzell Jonathan R.; Raj Binu; Baker Tracey A.; Goodwin Diane; Carroll Petra; Pateman Jane; Black John J. M.; Kattenhorn Paul; Faulkner Mark; Parameshwar Jayan; Butcher Charles; Mason Mark; Rosenberg Alexander; McGovern Ian; Weymann Alexander; Gwinnutt Carl; Banner Nicholas R.; Schueler Stephan; Simon Andre R.; Pitcher David W.;
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作者单位

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Freeman Rd Hosp Dept Cardiothorac Transplantat Newcastle Upon Tyne Tyne &

Wear England;

Papworth Hosp NHS Fdn Trust Dept Cardiothorac Transplantat Cambridge England;

Univ Hosp South Manchester NHS Fdn Trust Wythenshawe Hosp Dept Cardiothorac Transplantat;

Queen Elizabeth Hosp Birmingham Dept Cardiothorac Transplantat Birmingham W Midlands England;

Golden Jubilee Natl Hosp Scottish Adv Heart Failure Serv Glasgow Lanark Scotland;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Papworth Hosp NHS Fdn Trust Dept Cardiothorac Transplantat Cambridge England;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Sussex Cty Hosp Anaesthet Dept Brighton E Sussex England;

South Cent Ambulance Serv Fdn Trust Clin Directorate Bicester Oxon England;

East England Ambulance Serv Headquarters Whiting Way Melbourn SG8 6EN Cambs England;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Resuscitat Council London England;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

Freeman Rd Hosp Dept Cardiothorac Transplantat Newcastle Upon Tyne Tyne &

Wear England;

Royal Brompton &

Harefield NHS Fdn Trust Dept Cardiothorac Transplantat &

Mech Circulatory London;

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中图分类治疗学;
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1. Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices [J] . Bowles Christopher T., Hards Rachel, Wrightson Neil, Emergency medicine journal: EMJ . 2017,第12期

机译：引导救护车临床医生在植入旋转左心室辅助装置患者急救中的施工中的算法
2. Medical Management of Left Ventricular Assist Device Patients: A Practical Guide for the Nonexpert Clinician [J] . Kiamanesh Omid, Kaan Annemarie, Toma Mustafa The Canadian journal of cardiology . 2020,第2期

机译：左心室辅助设备患者的医疗管理：非激烈诊所的实用指南
3. Medical Management of Left Ventricular Assist Device Patients: A Practical Guide for the Nonexpert Clinician [J] . Chemical geology . 2019,第期

机译：左心室辅助设备患者的医疗管理：非激烈诊所的实用指南
4. Single Beat Estimation Of Right Ventricular End-systolic Elastance In Patients Undergoing Left Ventricular Assist Device Implantation [C] . Mandarino W.A., Morita S., Kormos R.L., Engineering in Medicine and Biology Society, 1991. Vol.13: 1991., Proceedings of the Annual International Conference of the IEEE . 1991

机译：左室辅助装置植入患者右室收缩末期弹性的单搏估计
5. Optimal Timing of Referral of Heart Failure Patients for Left Ventricular Assist Device Implantation. [D] . Chaplin, Lisa Thomas. 2011

机译：心力衰竭患者左心室辅助装置植入的最佳转诊时间。
6. Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices [O] . Christopher T Bowles, Rachel Hards, Neil Wrightson, -1

机译：引导救护车临床医生处理植入式旋转左心室辅助设备的患者紧急情况的算法
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机译：心力衰竭：左心室收缩功能障碍患者的评估和护理。临床实践指南第11号;心力衰竭：左心室收缩功能障碍患者的治疗。临床医生快速参考指南第11号;与心脏病共存：是心衰吗？患者和家庭指南

Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

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