Critical Matters Mechanical Circulatory Support - Part 2
Jun 13, 2024
Join Bindu Akkanti, an expert in pulmonary and critical care, as she dives deep into temporary mechanical circulatory support. Discover the vital role of interdisciplinary collaboration for ICU teams managing complex patients. Learn about overcoming challenges with LVAD patients experiencing GI bleeds and the intricate management of device complications like Impella. Bindu also reflects on the importance of work-life balance in healthcare and the comforting power of music, connecting personal experiences with professional insights.
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Intensivists as Central Coordinators
- Intensivists excel as central coordinators for MCS care, uniting cardiology, surgery, and nursing for seamless patient management.
- Their skill in hemodynamic monitoring and rapid troubleshooting uniquely positions them in advancing MCS patient outcomes.
Daily Systematic Assessment
- Use a systematic, system-based approach for daily assessment of MCS patients covering neurology, cardiopulmonary, respiratory, infection, GI, and hematology.
- Monitor neurological status closely for subtle changes and collaborate early with neurology for stroke risk and anticoagulation management.
Manage Hematologic Complications Carefully
- Monitor plasma-free hemoglobin, LDH trends, and coagulation panels frequently to balance risks of hemolysis, bleeding, and thrombosis.
- Investigate bleeding for site-specific causes before adjusting anticoagulation to avoid worsening thrombosis or device malfunction.