Ventricular Assist Devices - Revision history

Treloars at 17:44, 14 March 2022

2022-03-14T17:44:10Z

← Older revision		Revision as of 17:44, 14 March 2022
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	'''TRANSPORT OF PATIENT:'''		'''TRANSPORT OF PATIENT:'''
	* '''ALL VAD~~/LVAD~~ patients must be transported to a VAD center.'''		* '''ALL VAD patients must be transported to a VAD center.'''
	** Currently Advent Hospital Orlando and Orlando Regional Medical Center are the only local approved VAD centers.		** Currently Advent Hospital Orlando and Orlando Regional Medical Center are the only local approved VAD centers.
	** Contact the VAD coordinator as soon as possible and notify them of the transport.		** Contact the VAD coordinator as soon as possible and notify them of the transport.

Treloars at 17:43, 14 March 2022

2022-03-14T17:43:53Z

← Older revision		Revision as of 17:43, 14 March 2022
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	** Currently Advent Hospital Orlando and Orlando Regional Medical Center are the only local approved VAD centers.		** Currently Advent Hospital Orlando and Orlando Regional Medical Center are the only local approved VAD centers.
	** Contact the VAD coordinator as soon as possible and notify them of the transport.		** Contact the VAD coordinator as soon as possible and notify them of the transport.
	*VAD patients presenting with minor complaints may be transported to any receiving facility as long as they have their backup batteries and equipment with the patient.
	** These complaints include, but are not limited to:
	*** Minor sprains, strains or orthopedic injuries
	*** Hypoglycemia without severe signs or symptoms
	*** Isolated extremity lacerations
	* Don’t forget the family member/caregiver!		* Don’t forget the family member/caregiver!
	** The family member/caregiver must '''ACCOMPANY''' the patient in the ambulance.		** The family member/caregiver must '''ACCOMPANY''' the patient in the ambulance.

Treloars at 14:17, 14 March 2022

2022-03-14T14:17:24Z

← Older revision		Revision as of 14:17, 14 March 2022
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	'''TRANSPORT OF PATIENT:'''		'''TRANSPORT OF PATIENT:'''
	* '''ALL VAD patients ~~with cardiac, respiratory, neurological or infectious disease complaints~~ must be transported to ~~the~~ VAD center.'''		* '''ALL VAD/LVAD patients must be transported to a VAD center.'''
	** Currently ~~Florida~~ Hospital Orlando is the only local approved VAD ~~center~~.		** Currently Advent Hospital Orlando and Orlando Regional Medical Center are the only local approved VAD centers.
	** Contact the VAD coordinator as soon as possible and notify them of the transport.		** Contact the VAD coordinator as soon as possible and notify them of the transport.
	*VAD patients presenting with minor complaints may be transported to any receiving facility as long as they have their backup batteries and equipment with the patient.		*VAD patients presenting with minor complaints may be transported to any receiving facility as long as they have their backup batteries and equipment with the patient.

Treloars: /* 4.14 VENTRICULAR ASSIST DEVICES */

2018-09-17T15:44:33Z

4.14 VENTRICULAR ASSIST DEVICES

← Older revision		Revision as of 15:44, 17 September 2018
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	* Listen for a functioning VAD by auscultating over the abdomen.		* Listen for a functioning VAD by auscultating over the abdomen.
	** If the VAD has a whirling sound it is properly functioning.		** If the VAD has a whirling sound it is properly functioning.
	** ~~'''~~DO NOT PERFORM CPR!~~'''~~		** DO NOT PERFORM CPR IF IT IS FUNCTIONING!
	*** A VAD or LVAD is surgically implanted to the left ventricle. External cardiac compressions may dislodge the VAD causing death.		*** A VAD or LVAD is surgically implanted to the left ventricle. External cardiac compressions may dislodge the VAD causing death.
	* If the VAD is silent have the caregiver or family member check the device external pump controller and power supply.		* If the VAD is silent have the caregiver or family member check the device external pump controller and power supply.

Treloars: /* 4.14 VENTRICULAR ASSIST DEVICES */

2018-08-22T19:53:51Z

4.14 VENTRICULAR ASSIST DEVICES

← Older revision		Revision as of 19:53, 22 August 2018
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	'''UNRESPONSIVE PATIENT'''		'''UNRESPONSIVE PATIENT'''
	[[File:LVAD.jpg\|200px\|thumb]]		[[File:LVAD.jpg\|200px\|thumb\| © 2017 American Heart Association, Inc.]]
	* If the patient is unresponsive to stimuli:		* If the patient is unresponsive to stimuli:
	** Open the airway and ventilate/oxygenate as necessary.		** Open the airway and ventilate/oxygenate as necessary.

Treloars at 19:50, 22 August 2018

2018-08-22T19:50:22Z

← Older revision		Revision as of 19:50, 22 August 2018
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	'''UNRESPONSIVE PATIENT'''		'''UNRESPONSIVE PATIENT'''
			[[File:LVAD.jpg\|200px\|thumb]]
	* If the patient is unresponsive to stimuli:		* If the patient is unresponsive to stimuli:
	** Open the airway and ventilate/oxygenate as necessary.		** Open the airway and ventilate/oxygenate as necessary.
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	* If the VAD is inoperative despite troubleshooting and battery replacement, then CPR is indicated as per cardiac arrest parameter.		* If the VAD is inoperative despite troubleshooting and battery replacement, then CPR is indicated as per cardiac arrest parameter.
	[https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000000504 AHA Consensus on Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support]		[https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000000504 AHA Consensus on Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support]


	'''RESPONSIVE PATIENT:'''		'''RESPONSIVE PATIENT:'''

Treloars: /* 4.14 VENTRICULAR ASSIST DEVICES */

2018-08-22T19:49:02Z

4.14 VENTRICULAR ASSIST DEVICES

← Older revision		Revision as of 19:49, 22 August 2018
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	** Contact the LVAD coordinator on call (based at Florida South).		** Contact the LVAD coordinator on call (based at Florida South).
	* If the VAD is inoperative despite troubleshooting and battery replacement, then CPR is indicated as per cardiac arrest parameter.		* If the VAD is inoperative despite troubleshooting and battery replacement, then CPR is indicated as per cardiac arrest parameter.
			[https://www.ahajournals.org/doi/abs/10.1161/CIR.0000000000000504 AHA Consensus on Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support]

	'''RESPONSIVE PATIENT:'''		'''RESPONSIVE PATIENT:'''

Treloars at 15:47, 1 February 2018

2018-02-01T15:47:12Z

← Older revision		Revision as of 15:47, 1 February 2018
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	** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.		** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.
	* '''Bring all VAD equipment, backup bags, charger and batteries with the patient!'''		* '''Bring all VAD equipment, backup bags, charger and batteries with the patient!'''

			[[Category:Cardiac\|0414]]

Treloars: /* 4.14 VENTRICULAR ASSIST DEVICES */

2013-08-01T12:17:07Z

4.14 VENTRICULAR ASSIST DEVICES

← Older revision		Revision as of 12:17, 1 August 2013
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	'''TRANSPORT OF PATIENT:'''		'''TRANSPORT OF PATIENT:'''
	* '''ALL VAD patients must be transported to the VAD center'''.		* '''ALL VAD patients with cardiac, respiratory, neurological or infectious disease complaints must be transported to the VAD center.'''
	** Currently ~~'''~~Florida Hospital Orlando~~'''~~ is the only local approved VAD center.		** Currently Florida Hospital Orlando is the only local approved VAD center.
	** Contact the VAD coordinator as soon as possible and notify them of the transport.		** Contact the VAD coordinator as soon as possible and notify them of the transport.
			*VAD patients presenting with minor complaints may be transported to any receiving facility as long as they have their backup batteries and equipment with the patient.
			** These complaints include, but are not limited to:
			*** Minor sprains, strains or orthopedic injuries
			*** Hypoglycemia without severe signs or symptoms
			*** Isolated extremity lacerations
	* Don’t forget the family member/caregiver!		* Don’t forget the family member/caregiver!
	** The family member/caregiver must '''ACCOMPANY''' the patient in the ambulance.		** The family member/caregiver must '''ACCOMPANY''' the patient in the ambulance.
	** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.		** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.
	* Bring all VAD equipment, backup bags, charger and batteries with the patient!		* '''Bring all VAD equipment, backup bags, charger and batteries with the patient!'''

Treloars: /* 4.14 VENTRICULAR ASSIST DEVICES */

2013-03-15T19:34:07Z

4.14 VENTRICULAR ASSIST DEVICES

← Older revision		Revision as of 19:34, 15 March 2013
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	** Provide OXYGEN @ 100% via NRB mask or assist ventilations/oxygenation as indicated.		** Provide OXYGEN @ 100% via NRB mask or assist ventilations/oxygenation as indicated.
	* Listen to heart sounds. The heart sounds may be faint.		* Listen to heart sounds. The heart sounds may be faint.
	* Check for a functioning VAD: These devices are usually implanted below the heart in the abdominal cavity area. Use a stethoscope to listen for constant humming or whirling sound. This sound confirms the VAD is functioning.		* '''Check for a functioning VAD''': These devices are usually implanted below the heart in the abdominal cavity area. Use a stethoscope to listen for constant humming or whirling sound. This sound confirms the VAD is functioning.
	** The nature of the VAD function provides positive constant flow (it is a centrifugal pump) therefore a pulse may not be palpable in these patients.		** The nature of the VAD function provides positive constant flow (it is a centrifugal pump) therefore '''a pulse may not be palpable''' in these patients.
	* Blood Pressure: A manual blood pressure may not be obtainable. An automated blood pressure monitoring device may provide a reading with a narrow pulse pressure.		* '''Blood Pressure''': A manual blood pressure may not be obtainable. An automated blood pressure monitoring device may provide a reading with a narrow pulse pressure.
	** Treatment of these patients must be based on the mean arterial pressure (MAP). The normal MAP should be between 60 and 90 mm/Hg.		** Treatment of these patients must be based on the mean arterial pressure (MAP). The normal MAP should be between 60 and 90 mm/Hg.
	* Pulse Oximetry: These readings may not be accurate due to the continuous flow provided by the VAD.		* '''Pulse Oximetry''': These readings may not be accurate due to the continuous flow provided by the VAD.
	** Monitor side capnography for ventilation and oxygenation effectiveness.		** Monitor side capnography for ventilation and oxygenation effectiveness.

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	* If the patient is unresponsive to stimuli:		* If the patient is unresponsive to stimuli:
	** Open the airway and ventilate/oxygenate as necessary.		** Open the airway and ventilate/oxygenate as necessary.
	** Obtain a blood glucose level and treat per 5.10 Hypoglycemia parameter as needed.		** Obtain a blood glucose level and treat per [[Hypo or Hyperglycemia\|5.10 Hypoglycemia]] parameter as needed.
	* Listen for a functioning VAD by auscultating over the abdomen.		* Listen for a functioning VAD by auscultating over the abdomen.
	** If the VAD has a whirling sound it is properly functioning.		** If the VAD has a whirling sound it is properly functioning.
	** DO NOT PERFORM CPR!		** '''DO NOT PERFORM CPR!'''
	*** A VAD or LVAD is surgically implanted to the left ventricle. External cardiac compressions may dislodge the VAD causing death.		*** A VAD or LVAD is surgically implanted to the left ventricle. External cardiac compressions may dislodge the VAD causing death.
	* If the VAD is silent have the caregiver or family member check the device external pump controller and power supply.		* If the VAD is silent have the caregiver or family member check the device external pump controller and power supply.
	** LISTEN TO THE CAREGIVER! These individuals are experts in these devices and know/understand how to operate and troubleshoot the system.		** '''LISTEN TO THE CAREGIVER!''' These individuals are experts in these devices and know/understand how to operate and troubleshoot the system.
	** VAD patients are instructed to always have a backup bag with 2 charged batteries and a second pump controller.		** VAD patients are instructed to always have a backup bag with 2 charged batteries and a second pump controller.
	** Contact the LVAD coordinator on call (based at Florida South).		** Contact the LVAD coordinator on call (based at Florida South).
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	'''TRANSPORT OF PATIENT:'''		'''TRANSPORT OF PATIENT:'''
	* ALL VAD patients must be transported to the VAD center.		* '''ALL VAD patients must be transported to the VAD center'''.
	** Currently Florida Hospital Orlando is the only local approved VAD center.		** Currently '''Florida Hospital Orlando''' is the only local approved VAD center.
	** Contact the VAD coordinator as soon as possible and notify them of the transport.		** Contact the VAD coordinator as soon as possible and notify them of the transport.
	* Don’t forget the family member/caregiver!		* Don’t forget the family member/caregiver!
	** The family member/caregiver must ACCOMPANY the patient in the ambulance.		** The family member/caregiver must '''ACCOMPANY''' the patient in the ambulance.
	** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.		** These individuals have intimate knowledge of the patient’s condition, the system and usually have legal authority to sign on behalf of the patient.
	* Bring all VAD equipment, backup bags, charger and batteries with the patient!		* Bring all VAD equipment, backup bags, charger and batteries with the patient!