| Left ventricular assistance with the centrifugal pump: management of the patient with stunned myocardium. | |
MedLine Citation:
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PMID: 2261016 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Prompt left ventricular assistance by the centrifugal pump enables the survival of many patients with postoperative low cardiac output who cannot be weaned from cardiopulmonary bypass with the aid of balloon counterpulsation and inotropic agents. Successful weaning from the centrifugal pump, however, depends on the careful selection of appropriate candidates as well as the strict control of pump flow, oncotic pressure, coagulopathy, blood pressure, and systemic afterload. The installation of a hemoconcentration device into the pump line helps control hemodilution and maintain adequate oncotic pressure. The management of a patient who was totally dependent upon left ventricular assistance is described. |
Authors:
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R García-Rinaldi; L Brown; G E Bretz; C A Howland |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Boletín de la Asociación Médica de Puerto Rico Volume: 82 ISSN: 0004-4849 ISO Abbreviation: Bol Asoc Med P R Publication Date: 1990 Jul |
Date Detail:
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Created Date: 1991-02-01 Completed Date: 1991-02-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7505267 Medline TA: Bol Asoc Med P R Country: PUERTO RICO |
Other Details:
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Languages: eng Pagination: 292-7 Citation Subset: IM |
Affiliation:
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St. Joseph Heart Center, Cardiovascular Surgery of Texas. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anticoagulants / therapeutic use Blood Coagulation Disorders / drug therapy, etiology Cardiac Output, Low / etiology, therapy* Coronary Artery Bypass Equipment Design Heart-Assist Devices* Humans Intra-Aortic Balloon Pumping Male Postoperative Care Ventricular Function, Left |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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