Mechanical Cardiac Assistance

1. Overview of Mechanical Circulatory Support /@Wayne E. Richenbacher -- Introduction -- Developmental Hurdles Encountered During Mechanical Blood Pump Development -- Management of Heart Failure -- Future of Mechanical Circulatory Support -- 2. Developing a Mechanical Blood Pump Program /@Wayne E. Richen bacher -- Mechanical Circulatory Support Team -- Selecting a Ventricular Assist System for Postcardiotomy Cardiogenic Shock -- Selecting a Ventricular Assist System for Use as a Bridge to Cardiac Transplantation -- Physical Plant Considerations -- Training -- 3. Intraaortic Balloon Counterpulsation /@Wayne E. Richenbacher -- Introduction -- Balloon Pump Design and Theory of Function -- Indications for Use -- Contraindications for Use -- Insertion Technique -- Management of the Intraaortic Balloon Pump Patient -- Transportation of the Patient Requiring Intraaortic Balloon Pump Support -- Weaning from Intraaortic Balloon Pump Support -- Intraaortic Balloon Pump Removal -- Complications of Intraaortic Balloon Counterpulsation -- 4. Extracorporeal Membrane Oxygenation (ECMO) Support for Cardiorespiratory Failure /Ralph E. Delius, Angela M. Otto -- Introduction -- Team Concepts -- Economic Considerations -- Circuit Design -- Location -- Venovenous Versus Venoarterial Bypass -- Indications for ECMO Support -- Cannulation Techniques -- Patient Management -- Weaning -- Decannulation -- Follow-up -- 5. Ventricular Assistance for Postcardiotomy Cardiogenic Shock /Wayne E. Richenbacher -- Introduction -- Patient Selection and Preparation -- Operative Management -- Postoperative Management -- Weaning from Mechanical Circulatory Support -- Device Removal -- Patient Care Following Ventricular Assist Device Removal -- 6. Ventricular Assistance as a Bridge to Cardiac Transplantation /Wayne E. Richenbacher -- Introduction -- Patient Selection and Primary Management -- Preoperative Preparation -- Ventricular Assist Device (VAD) Selection -- Operative Management -- Postoperative Management -- Preparation for Cardiac Transplantation -- Cardiac Transplantation -- Posttransplant Care and Management -- 7. Special Situations /Wayne E. Richenbacher -- Introduction -- Interhospital Transfer -- Ventricular Arrhythmias and Electrical Defibrillation -- Valvular Heart Disease -- Primary Right Ventricular Failure -- 8. Anesthesia for Patients with Ventricular Assist Devices /Javier H. Campos -- Introduction -- Anesthetic Management -- Induction and Maintenance of Anesthesia -- Placement of Left Ventricular Assist Device and Anesthetic Implications -- Placement of Right Ventricular Assist Device and Anesthetic Implications -- Placement of the Biventricular Assist Devices and Anesthetic Implications -- Aprotinin in Patients Requiring a Ventricular Assist Device -- Intraoperative Transesophageal Echocardiographie Evaluation in Patients with Ventricular Assist Devices -- Transport of Patients with Ventricular Assist Device to the Surgical Intensive Care Unit -- 9. Nursing Care of the Patient Requiring Mechanical Circulatory Support /Kelly L. Jones, Carolyn J. Laxson, Sarah C. Seemuth, Sara J. Vance -- Nursing Staff Education -- Preimplantation Psychosocial Assessment -- Postoperative Care -- Home Discharge Preparation -- Educating the Local Community -- 10. Complications of Mechanical Ventricular Assistance /Wayne E. Richenbacher -- Introduction -- Early Complications -- Late Complications -- 11. Device-Specific Considerations /Wayne E. Richenbacher, Shawn L. Jensen, Scott D. Niles, Jam es M. Ploessl -- Introduction -- Centrifugal Pump -- Abiomed BVS 5000 Biventricular Support System -- Thoratec VAD System -- Thermo Cardiosystems HeartMate LVAS -- Novacor N-100 LVAD -- 12. Financial Aspects of a Mechanical Circulatory Support Program /Jane E. Reedy -- Introduction -- Food and Drug Administration Approval Process -- Justification -- Financial Implications -- Reimbursement Overview -- Patient's Coverage Policy -- Hospital -- Physician -- Medicare Coverage -- Reimbursement Strategies -- Conclusions -- Appendix -- Index.