bandage-green

Ventricular Assist Device Placement

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Anticoagulation / Antiplatelet Therapy, Cardiopulmonary Bypass, TEE, Mechanical Circulatory Support

Anesthetic Approaches

1GETT, 1/2 MAC Gas, Remifentanil Drip
2GETT, TIVA, Propofol Drip
The Surgery

Preparation - Supine with arms tucked, chest, abdomen and both groins prepped into one field so the driveline tunnel and femoral cannulation are both reachable. External defibrillator pads go on...

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