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 .............................................................................................................................................. 55

               Syncardia TAH ............................................................................................................................................. 57
                  Berlin Heart EXCOR ................................................................................................................................. 58
               References .................................................................................................................................................. 62
               Appendix 1 – Investigations ........................................................................................................................ 63

               Appendix 2 - Anticoagulation Management ............................................................................................... 64
                  Bivalirudin ............................................................................................................................................... 64
                  Heparin .................................................................................................................................................... 65

                  Antiplatelet Therapy ............................................................................................................................... 66
                  Coumadin (Warfarin) .............................................................................................................................. 67
               Appendix 3 – Blood Pressure Normal Values (MAP & SBP) ........................................................................ 68
               Appendix 4 – Action Network Checklist ...................................................................................................... 72

               Appendix 5 Ramp Study .............................................................................................................................. 73
               Appendix 6 –VAD Documentation in Epic ................................................................................................... 75




               Updated 12/14/2018                                                                      page 4
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