Page 3 - VAD Guidelines
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Pediatric Ventricular Assist Device (VAD) Guidelines

               Contents


               Preface .......................................................................................................................................................... 2

               When to consider VAD support .................................................................................................................... 6
               Device Terminology ...................................................................................................................................... 6
               VAD Device Types & Selection ...................................................................................................................... 6
                  Algorithm for Mechanical Support in Acute Heart Failure ....................................................................... 7

               Pre-Implant Evaluation ................................................................................................................................. 7
               Device Implantation ...................................................................................................................................... 8
                  OR & Device Considerations ..................................................................................................................... 8

                  Pre-surgical Device Implant Huddle .......................................................................................................... 8
                  Intraoperative Optimization of Device Settings........................................................................................ 8
               VAD Alarms and Malfunctions ...................................................................................................................... 9

               Initial ICU Support (First 48 hours).............................................................................................................. 10
                  Anticoagulation ....................................................................................................................................... 10
                  Chest Tube .............................................................................................................................................. 10

                  Fluid Management .................................................................................................................................. 10
                  Hemostasis .............................................................................................................................................. 10
                  Hypertension ........................................................................................................................................... 11
                  Infection Prophylaxis............................................................................................................................... 11

                  RV support .............................................................................................................................................. 11
                  Sedation .................................................................................................................................................. 11
                  Ventilation ............................................................................................................................................... 11

               Ongoing ICU/Floor Management ................................................................................................................ 12
                  Anticoagulation ....................................................................................................................................... 12
                  Imaging Investigations ............................................................................................................................ 12

                  Rounding Checklist .................................................................................................................................. 13
               VAD Adverse Events .................................................................................................................................... 14
                  Bleeding .................................................................................................................................................. 14

                  Cardiac Tamponade ................................................................................................................................ 14
                  Hemolysis ................................................................................................................................................ 15
                  Hypertension ........................................................................................................................................... 15
                  Infection: ................................................................................................................................................. 16

                  Inflammation ........................................................................................................................................... 17




               Updated 12/14/2018                                                                      page 3
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