The Low-Flow LVAD

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  • Опубліковано 11 лип 2024
  • Dr. Colin McCloskey, an EM intensivist with expertise in LVADs, breaks down the intricacies of troubleshooting "The Low-Flow LVAD" during his at the ResusX: ReLoaded conference (see link below for more lectures). With a straightforward approach, he emphasizes understanding the device's preload dependency and afterload sensitivity, which simplifies the troubleshooting process.
    Dr. McCloskey underscores the importance of utilizing the VAD coordinator's assistance for historical patient information and guidance. He delves into the physiology of LVADs, explaining internal and external components, and highlights key pathologies that can lead to low-flow states, such as infection, bleeding, and arrhythmia. Furthermore, he discusses afterload-sensitive conditions like pump thrombosis and systemic hypertension, offering practical insights into diagnosis and management.
    Dr. McCloskey concludes by outlining strategies for managing a crashing LVAD, emphasizing resuscitation based on the device's functionality and appropriate ACLS protocols. With clarity and expertise, this video provides essential knowledge for healthcare professionals navigating LVAD-related emergencies.
    00:00 Introduction to LVAD Troubleshooting
    00:27 Understanding LVADs: Preload Dependence and Afterload Sensitivity
    00:51 The Role of a VAD Coordinator in LVAD Management
    01:23 LVAD Components and Functionality
    03:35 Pathologies Affecting LVAD Flow: Infections and Bleeding
    05:11 Addressing Preload Dependent Pathologies: Hypovolemia and Arrhythmias
    07:12 Afterload Sensitive Pathologies: Pump Thrombosis and Hypertension
    09:55 Managing a Crashing LVAD Patient
    11:53 Conclusion: Key Takeaways on LVAD Management
    Hashtags:
    #LVAD, #CriticalCare, #EmergencyMedicine, #LVADTroubleshooting, #LVADPathologies, #LVADManagement, #CardiothoracicICU, #HeartFailure, #LVADPhysiology, #PreloadDependency, #AfterloadSensitivity, #LVADComplications, #PumpThrombosis, #Hypovolemia, #ArrhythmiaManagement
    To watch more videos from the ResusX conference, check out www.resusx.com/offers/bwjtxAHf
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