Advanced cardiovascular life support algorithm for the management of the hospitalized unresponsive patient on continuous flow left ventricular assist device support outside the intensive care unit

Melana Yuzefpolskaya, Nir Uriel, Margaret Flannery, Natalie Yip, Kanika Mody, Barbara Cagliostro, Hiroo Takayama, Yoshifumi Naka, Ulrich P. Jorde, Sumeet Goswami, Paolo C. Colombo

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Over the past decade, continuous flow left ventricular assist devices (CF-LVADs) have become the mainstay of therapy for end stage heart failure. While the number of patients on support is exponentially growing, at present there are no American Heart Association or European Society of Cardiology Advanced Cardiovascular Life Support guidelines for the management of this unique patient population. We propose an algorithm for the hospitalized unresponsive CF-LVAD patient outside of the intensive care unit setting. Key elements of this algorithm are: creation of a dedicated LVAD code pager and LVAD code team; early assessment and correction of LVAD malfunction; early determination of blood flow using Doppler technique in carotid and femoral arteries; prompt administration of external chest compressions in the absence of Doppler flow; bedside veno-arterial extracorporeal membranous oxygenation support if no response to resuscitation measures; and early consideration for stroke.

Original languageEnglish (US)
Pages (from-to)522-526
Number of pages5
JournalEuropean heart journal. Acute cardiovascular care
Volume5
Issue number8
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Fingerprint

Heart-Assist Devices
Intensive Care Units
Hospital Rapid Response Team
Femoral Artery
Carotid Arteries
Resuscitation
Thorax
Heart Failure
Stroke
Guidelines
Population
Therapeutics

Keywords

  • advanced cardiovascular life support
  • heart failure
  • Left ventricular assist devices

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Advanced cardiovascular life support algorithm for the management of the hospitalized unresponsive patient on continuous flow left ventricular assist device support outside the intensive care unit. / Yuzefpolskaya, Melana; Uriel, Nir; Flannery, Margaret; Yip, Natalie; Mody, Kanika; Cagliostro, Barbara; Takayama, Hiroo; Naka, Yoshifumi; Jorde, Ulrich P.; Goswami, Sumeet; Colombo, Paolo C.

In: European heart journal. Acute cardiovascular care, Vol. 5, No. 8, 01.12.2016, p. 522-526.

Research output: Contribution to journalArticle

Yuzefpolskaya, Melana ; Uriel, Nir ; Flannery, Margaret ; Yip, Natalie ; Mody, Kanika ; Cagliostro, Barbara ; Takayama, Hiroo ; Naka, Yoshifumi ; Jorde, Ulrich P. ; Goswami, Sumeet ; Colombo, Paolo C. / Advanced cardiovascular life support algorithm for the management of the hospitalized unresponsive patient on continuous flow left ventricular assist device support outside the intensive care unit. In: European heart journal. Acute cardiovascular care. 2016 ; Vol. 5, No. 8. pp. 522-526.
@article{15fcbceacef14fe19d53fc2716cce815,
title = "Advanced cardiovascular life support algorithm for the management of the hospitalized unresponsive patient on continuous flow left ventricular assist device support outside the intensive care unit",
abstract = "Over the past decade, continuous flow left ventricular assist devices (CF-LVADs) have become the mainstay of therapy for end stage heart failure. While the number of patients on support is exponentially growing, at present there are no American Heart Association or European Society of Cardiology Advanced Cardiovascular Life Support guidelines for the management of this unique patient population. We propose an algorithm for the hospitalized unresponsive CF-LVAD patient outside of the intensive care unit setting. Key elements of this algorithm are: creation of a dedicated LVAD code pager and LVAD code team; early assessment and correction of LVAD malfunction; early determination of blood flow using Doppler technique in carotid and femoral arteries; prompt administration of external chest compressions in the absence of Doppler flow; bedside veno-arterial extracorporeal membranous oxygenation support if no response to resuscitation measures; and early consideration for stroke.",
keywords = "advanced cardiovascular life support, heart failure, Left ventricular assist devices",
author = "Melana Yuzefpolskaya and Nir Uriel and Margaret Flannery and Natalie Yip and Kanika Mody and Barbara Cagliostro and Hiroo Takayama and Yoshifumi Naka and Jorde, {Ulrich P.} and Sumeet Goswami and Colombo, {Paolo C.}",
year = "2016",
month = "12",
day = "1",
doi = "10.1177/2048872615574107",
language = "English (US)",
volume = "5",
pages = "522--526",
journal = "European Heart Journal: Acute Cardiovascular Care",
issn = "2048-8726",
publisher = "SAGE Publications Ltd",
number = "8",

}

TY - JOUR

T1 - Advanced cardiovascular life support algorithm for the management of the hospitalized unresponsive patient on continuous flow left ventricular assist device support outside the intensive care unit

AU - Yuzefpolskaya, Melana

AU - Uriel, Nir

AU - Flannery, Margaret

AU - Yip, Natalie

AU - Mody, Kanika

AU - Cagliostro, Barbara

AU - Takayama, Hiroo

AU - Naka, Yoshifumi

AU - Jorde, Ulrich P.

AU - Goswami, Sumeet

AU - Colombo, Paolo C.

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Over the past decade, continuous flow left ventricular assist devices (CF-LVADs) have become the mainstay of therapy for end stage heart failure. While the number of patients on support is exponentially growing, at present there are no American Heart Association or European Society of Cardiology Advanced Cardiovascular Life Support guidelines for the management of this unique patient population. We propose an algorithm for the hospitalized unresponsive CF-LVAD patient outside of the intensive care unit setting. Key elements of this algorithm are: creation of a dedicated LVAD code pager and LVAD code team; early assessment and correction of LVAD malfunction; early determination of blood flow using Doppler technique in carotid and femoral arteries; prompt administration of external chest compressions in the absence of Doppler flow; bedside veno-arterial extracorporeal membranous oxygenation support if no response to resuscitation measures; and early consideration for stroke.

AB - Over the past decade, continuous flow left ventricular assist devices (CF-LVADs) have become the mainstay of therapy for end stage heart failure. While the number of patients on support is exponentially growing, at present there are no American Heart Association or European Society of Cardiology Advanced Cardiovascular Life Support guidelines for the management of this unique patient population. We propose an algorithm for the hospitalized unresponsive CF-LVAD patient outside of the intensive care unit setting. Key elements of this algorithm are: creation of a dedicated LVAD code pager and LVAD code team; early assessment and correction of LVAD malfunction; early determination of blood flow using Doppler technique in carotid and femoral arteries; prompt administration of external chest compressions in the absence of Doppler flow; bedside veno-arterial extracorporeal membranous oxygenation support if no response to resuscitation measures; and early consideration for stroke.

KW - advanced cardiovascular life support

KW - heart failure

KW - Left ventricular assist devices

UR - http://www.scopus.com/inward/record.url?scp=85050577882&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050577882&partnerID=8YFLogxK

U2 - 10.1177/2048872615574107

DO - 10.1177/2048872615574107

M3 - Article

VL - 5

SP - 522

EP - 526

JO - European Heart Journal: Acute Cardiovascular Care

JF - European Heart Journal: Acute Cardiovascular Care

SN - 2048-8726

IS - 8

ER -