Safe Placement of Temporary Left Ventricular Assist Device Using Monitored Anesthesia Care and Regional Anesthesia in Patients With Cardiogenic Shock
oleh: John DePaolo, MD, PhD, Amit Iyengar, MD, MSE, Samuel Cohen, MD, MS, John J. Kelly, MD, Audrey E. Spelde, MD, Joyce Wald, DO, Emily J. Mackay, DO, MS, Michael Ibrahim, MBBS, PhD, Asad A. Usman, MD, Marisa Cevasco, MD, MPH
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2023-11-01 |
Deskripsi
Patients with advanced cardiogenic shock requiring mechanical circulatory support are uniquely susceptible to clinical deterioration. Limiting physiologic perturbations via avoidance of general anesthesia and endotracheal intubation by awake Impella 5.5 placement is safe and may represent a novel strategy in mechanical circulatory support initiation among patients in cardiogenic shock. (Level of Difficulty: Intermediate.)