Critical Matters Mechanical Circulatory Support - Part 1
12 snips
May 23, 2024 Dr. Bindu Akkanti, an esteemed associate professor and Medical Director of the Heart Failure ICU at UTHealth Houston, dives into the crucial role of mechanical circulatory support in treating cardiogenic shock. The conversation highlights shock management, emphasizing timely interventions and the complexity of patient dynamics. They explore the differences between various mechanical support devices, their physiological benefits, and the importance of teamwork in critical care. Additionally, they touch on pioneering research aimed at improving survival rates for critically ill patients.
AI Snips
Chapters
Books
Transcript
Episode notes
Know Shock Phenotypes and MCS
- Every intensivist must identify the shock phenotype to tailor treatment effectively.
- Recognizing temporary mechanical circulatory support (MCS) availability can save lives.
Understanding Cardiogenic Shock
- Cardiogenic shock involves cardiac pump dysfunction causing hypoperfusion with ~50% mortality.
- Timely identification using hemodynamic and biochemical markers is crucial before progressing to hemometabolic failure.
Early Classification and ICU Assessment
- Use SCAI shock stages and hemodynamic profiling to classify shock early (stages C to E).
- Early ICU care includes Swan-Ganz catheter, echo, and evaluation of preload, afterload, and rhythm.
