University of Wisconsin Hospital And Clinics

Slides:



Advertisements
Similar presentations
Ventricular Assist Device Exit Site Care
Advertisements

Research By: Dr. Ritta Baena Visual Effects By: John Baena
Managing the LVAD patient in Cardiac Rehabilitation
Community Preparation for Caring for Mechanical Circulatory Device Patients University of Wisconsin Hospital And Clinics Ventricular Assist Device Program.
Left Ventricular Assist Devices “LVAD”
Pre-Hospital Care of the Mechanical Circulatory Support Device Patient
BACKGROUND Ventricular assist devices (VADs) are a proven therapy as bridge-to-cardiac transplantation in Class IIIB and Class IV heart failure patients.
ACE Personal Trainer Manual, 4th edition Chapter 16:
Emergency Medical Response Circulation and Cardiac Emergencies.
BACKGROUND Ventricular assist devices (VADs) are a proven therapy as bridge-to-cardiac transplantation in Class IIIB and Class IV heart failure patients.
EMS Management of the SynCardia Temporary Total Artificial Heart (TAH-t) Patient Clinical-xxx Rev001.
Innovative Minimally Invasive Circulatory Assist Device.
Topics Zoll LifeVest  What it is  Who it treats  How does EMS handle these patients?
Defibrillation 4/19/2017
1 Batteries & Battery Clips – Setup for Operation Follow these steps to prepare for battery-powered operation: 1.Place two battery clips, two charged batteries.
CPR/AED – Assisting A Person in Cardiac Arrest Lessons Provided by the Office of Healthy Schools – March 2015.
 Lifestyle Changes Can help a patient suffering from: ◦ Coronary Heart Disease, Heart Attacks & Congestive Heart Failure  Reduce amount of salt intake.
Community Preparation for Caring for Mechanical Circulatory Device Patients University of Wisconsin Hospital And Clinics Ventricular Assist Device Program.
CPR & AED.
Heartsaver CPR and Heimlich Maneuver. 1. What are the 4 life threatening emergencies in adults? ~ Heart Attack ~ Cardiac Arrest ~ Choking ~ Stroke.
Arrhythmia Tasha McDevitt Patient Care Sciences II Inst: Dr. Hoeff.
Gail Walraven, Basic Arrhythmias, Sixth Edition ©2006 by Pearson Education, Inc., Upper Saddle River, NJ Appendix B Pathophysiology and Clinical Implications.
Ventricular Assist Devices Brian Schwartz, CCP February 25, 2003.
Cardiac Arrest Mirna Gonzalez Ninth Grade- 14 years of age.
A Case Study. The background You admitted MB after a LIMA-LAD, SVG x2, initial vital signs were stable – HR 75, BP 114/73, CVP of 5, Cardiac index was.
Introduction to Ventricular Assist Device (VAD)
Ventricular Assist Devices
Cardiac Emergencies Section 5 The objectives will appear in Red
9/5/20151 Ventricular Assist Device (VAD) Patients in the Community Liz Amerman, RN, BSN IU Health Methodist VAD Program Manager April 18, 2012.
Transition to Next Level of Care Management of Patient with Ventricular Assist Device Hospital Home Transition.
Cardiac Conditions Caring for children with cardiac conditions in a community program
What Does CPR Stand For? Cardio = HEART Pulmonary = LUNGS Resuscitate = REVIVE Cardio-Pulmonary Resuscitation = Reviving the Heart and Lungs.
Chapter 5 Cardiac Emergencies. What does the heart do? The heart is about the size of a fist and lies between the lungs in the middle of the chest. It.
Community Preparation for Caring for Mechanical Circulatory Device Patients University of Wisconsin Hospital And Clinics Ventricular Assist Device Program.
Top Ten things you need to know… About VAD’s Kim Byrum Chappell Mechanical Assist Coordinator.
Rhythm Strips Jessica Wagner UMSON. EKG Grid.
Ventricular Assist Devices A Ventricular assist device, or VAD, is a mechanical circulatory device that is used to partially or completely replace the.
IMPLANTABLE DEFIBRILLATOR By: Victor J. Gabbidon.
Cardiovascular Disorders Notes. Pericarditis Infection of pericardium S/S – fever, pain in chest, difficulty breathing, palpitations, sweats/chills, pale.
Advanced Therapies Lee R. Goldberg, MD, MPH Medical Director, Heart Failure and Cardiac Transplant Program University of Pennsylvania.
Cardiopulmonary Resuscitation CPR in Correctional Facilities.
Emergency Medical Response You Are the Emergency Medical Responder You are called to the home of a 50-year-old man whose wife called because he was.
Chapter 15: Cardiac Emergencies
THE HEART’S ELECTRICAL SYSTEM Marco Perez, MD Center for Inherited Cardiovascular Disease Inherited Cardiac Arrhythmia Clinic June 20, 2013.
HOME EMERGENCY GUIDE TAUFIQ ABDULLAH,MD EMERGENCY MEDICINE FACULTY OF MEDICINE, UNIVERSITY OF BRAWIJAYA EMERGENCY DEPARTMENT OF SAIFUL ANWAR HOSPITAL TAUFIQ.
Chapter 2 Cardiac Emergencies. Cardiac Emergencies Objectives 1. Identify the common cause of a heart attack 2. List signs and symptoms of a heart attack.
Cardiopulmonary Resuscitation
Responding to Emergencies
Heart attack.
Cardiopulmonary Resuscitation
Figure 1 Patients outside of target international normalized ratio range by time point and management strategy. All values are expressed as percentages.
Ventricular Assist Device
Hemodialysis Lecture 3.
Deactivating the shocking component of an Implantable Cardioverter Defibrillator (ICD) (When no longer appropriate)
Cardiac arrest & Reactivation
Automated External Defibrillator Intermediate
LIFEPAK® 1000 Defibrillator Orientation Guide
Intro to First Aid and CPR
Henry Ford Health System
Mechanical Circulatory Support Devices HOSEIN PASANDI.
A High School beginners guide to CPR
Durable Mechanical Circulatory Support in Advanced Heart Failure
Chapter 14: Lesson 2 Page 446.
If someone was having a Heart Attack, why would you give them Aspirin?
Pericarditis Inflammation of the pericardium Many causes
Cardiovascular Health
Automated External Defibrillation
Heartware HVAD Ventricular Assist System
CPR & AED.
New changes for CPR 2006.
Presentation transcript:

Community Preparation for Caring for Mechanical Circulatory Device Patients University of Wisconsin Hospital And Clinics Ventricular Assist Device Program

Mechanical Circulatory Support Device Overview MCDSs are devices to support the failing heart (one side or both) Most MCDS patients are anticoagulated with Coumadin and Aspirin All MCDSs have: Pump (implanted inside the patient’s chest) Computer to control the settings/ display VAD performance readings Power source: batteries or console connected to AC power

HeartMate II Components Pump implanted inside the chest One of two batteries needed to power the pump Driveline (tube connecting pump to outside components) with sterile dressing covering it Console used to obtain power from AC outlet Controller- computer runs device; lights alarms Republished with permission of Thoratec Corporation

HeartMate II VAD Readings Flow= cardiac output from the pump Target varies by patient Speed= how fast pump is running rpm - range 8000-10000 rpm Power= how much watts it takes to run the pump - normal is < 8 watts

HeartMate II Care Overview Cannot palpate a pulse Pulse oximeter may/ may not work Need to assess if pump is running: listen over the point of maximal impulse (PMI) area for a consistent mechanical hum Blood pressure: need a Doppler and sphygmomanometer result is considered a MAP acceptable MAP 60-85 mmHg

HeartMate II Care Overview EKG conduction- does not impact VAD function unless RV fails VAD will continue to receive blood supply until RV fails or pulmonary hypertension Most of these patients have an ICD/ pacer. Some patients’ ICDs are off to avoid inappropriate shocks. Most VAD patients tolerate the arrhythmias well and may have little symptoms for period of time. Assess for patient’s tolerance of situation (if able). Ask for symptoms: lightheadedness, shortness of breath, palpitations, bloating, pain (anywhere), fever, chills, diaphoresis

HeartMate II Controller Face Battery Fuel Gauge Battery Alarm light (yellow and red) Silence Alarm Button Test System button Power Symbol (green light lit when pump running) Controller Cell Symbol (yellow) Red Heart Symbol lit: ? Pump running or not. Check PMI for mechanical hum.

HeartMate II Newer Controller Face Plate

EMERGENCY CARE Call implant hospital: 608-263-6400 and ask for HEART FAILURE ATTENDING ON CALL Still need to follow Airway Breathing of ABC’s √ VAD stopped (listen over PMI area for consistent mechanical hum). If stopped significant risk for clot inside MCDS and thromboembolize. No chest compressions Defibrillation- STANDARD METHOD Heparin bolus if VAD stopped (contact implant hospital first)

Contacts 608-263-6400 (Paging Operator) Heart Failure Attending Ventricular Assist Device Coordinator (non-emergency)