1 / 1

Anesthetic Management of a Patient with Continuous-flow (Nonpulsatile) LVAD

Anesthetic Management of a Patient with Continuous-flow (Nonpulsatile) LVAD. Blood pressure assessment is challenge # 1: Oscillometry may be worthless (or may obtain MAP only) Doppler helps: First signal is “truncated” SAP Low threshold for arterial lines: May need ultrasound

misha
Download Presentation

Anesthetic Management of a Patient with Continuous-flow (Nonpulsatile) LVAD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Anesthetic Management of a Patient with Continuous-flow (Nonpulsatile) LVAD • Blood pressure assessment is challenge # 1: • Oscillometry may be worthless (or may obtain MAP only) • Doppler helps: First signal is “truncated” SAP • Low threshold for arterial lines: May need ultrasound • Can dial back RPMs to increase pulse pressure temporarily for arterial line placement • SPO2: Non-starter if no pulse. Consider cerebral oximeter • Most chronic LVAD patients do have a pulse, but low pulse pressure

More Related