Page 4 - VAD Guidelines
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Pediatric Ventricular Assist Device (VAD) Guidelines

                  Invasive Procedures: ............................................................................................................................... 17
                  Right Ventricular Failure ......................................................................................................................... 17

                  Stroke ...................................................................................................................................................... 19
                  Algorithm for Management of Stroke - Emergency Department ........................................................... 21
                  Suboptimal Cardiac Output of Uncertain Etiology.................................................................................. 21

                  Thrombosis ............................................................................................................................................. 21
                  Algorithm to Assess Possible Pump Thrombosis .................................................................................... 22
               Device Explant ............................................................................................................................................. 24

                  Myocardial Recovery .............................................................................................................................. 24
               Discharge Planning and Outpatient Management ..................................................................................... 26
                  Patient/Family education ........................................................................................................................ 26
                  Discharge Readiness ............................................................................................................................... 27

                  Home Preparations ................................................................................................................................. 28
                  Discharge week ....................................................................................................................................... 29
               Device Details and Management ................................................................................................................ 30

                  Device Summary ..................................................................................................................................... 30
                  PediMag/CentriMag ................................................................................................................................ 31
                  HeartWare............................................................................................................................................... 38

                  HeartMate 3 ............................................................................................................................................ 44
                  Impella .................................................................................................................................................... 51
                  Jarvik 2015 .............................................................................................................................................. 56

               Syncardia TAH ............................................................................................................................................. 58
                  Berlin Heart EXCOR ................................................................................................................................. 59
               References .................................................................................................................................................. 63
               Appendix 1 – Investigations ........................................................................................................................ 64

               Appendix 2 - Anticoagulation Management ............................................................................................... 65
                  Bivalirudin ............................................................................................................................................... 65
                  Heparin .................................................................................................................................................... 66

                  Antiplatelet Therapy ............................................................................................................................... 67
                  Coumadin (Warfarin) .............................................................................................................................. 68
               Appendix 3 – Blood Pressure Normal Values (MAP & SBP) ........................................................................ 69
               Appendix 4 – Action Network Checklist ...................................................................................................... 73

               Appendix 5 Ramp Study .............................................................................................................................. 74
               Appendix 6 –VAD Documentation in Epic ................................................................................................... 76




               Updated 2/8/2019                                                                        page 4
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