title: Postoperative Management for Patients With Durable Mechanical Circulatory Support Devices.
abstract: Mechanical circulatory support devices have been approved as bridge to transplantation, as bridge to recovery, or as destination therapy to treat end-stage heart failure. The perioperative challenges for the anesthesiologist and the intensivist caring for these patients include device-related complications, hemodynamic instability, arrhythmias, right ventricular failure, and coagulopathy. Perioperative management in this high-risk population has a significant impact on patient outcomes. This review focuses immediate postoperative intensive care unit management of device-related complications.
authors.affiliation: Weiss Memorial Hospital, Affiliate of the University of Illinois at Chicago, Chicago, IL, USA franziskae.blum@gmail.com.
authors.forename: Franziska Elisabeth
authors.initials: FE
authors.lastname: Blum
authors.affiliation: University of Colorado Denver, Aurora, CO, USA.
authors.forename: Gregory Michael
authors.initials: GM
authors.lastname: Weiss
authors.affiliation: University of Colorado Denver, Aurora, CO, USA.
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Cleveland
authors.affiliation: University of Colorado Denver, Aurora, CO, USA.
authors.forename: Nathaen S
authors.initials: NS
authors.lastname: Weitzel
mesh_terms: D000776:Anesthesiology / Q000379:methods; D003422:Critical Care / Q000379:methods; D006333:Heart Failure / Q000628:therapy*; D006353:Heart-Assist Devices / Q000009:adverse effects; D006801:Humans; D007362:Intensive Care Units; D011182:Postoperative Care / Q000379:methods*
keywords: complications; heart; heparin; intensive care unit; left ventricular outflow obstruction