Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2021  |  Volume : 15  |  Issue : 2  |  Page : 210--212

Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure


W W Z Ma1, T Suhitharan2, SS Shah3, H Kothandan3 
1 Senior Resident, Singhealth Anaesthesiology Residency, Singapore General Hospital, Singapore
2 Consultant, Department of Surgical Intensive Care, Division of Anaesthesiology, Singapore General Hospital, Singapore
3 Senior Consultant, Division of Anaesthesiology, Singapore General Hospital, Singapore

Correspondence Address:
T Suhitharan
Department of Surgical intensive Care, Division of Anaesthesiology, Singapore General Hospital, Outram Road - 169608
Singapore

Technological advances in mechanical circulatory support have enabled more patients with end-stage heart failure to benefit from left ventricular assist devices (LVAD). Indications for LVAD implantation have evolved to include patients who are deemed unsuitable for cardiac transplantation, otherwise known as destination therapy. This case report describes such patient with multi-organ failure who underwent LVAD insertion after nine days of extra-corporeal membrane oxygenation, intra-aortic balloon pump and maximal inotropic support. Strategies for perioperative management, as well as intra-operative monitoring and interventions are discussed.


How to cite this article:
Ma W W, Suhitharan T, Shah S S, Kothandan H. Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure.Saudi J Anaesth 2021;15:210-212


How to cite this URL:
Ma W W, Suhitharan T, Shah S S, Kothandan H. Anesthesia for left ventricular assisted device insertion in a patient with multiple organ failure. Saudi J Anaesth [serial online] 2021 [cited 2021 May 12 ];15:210-212
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2021;volume=15;issue=2;spage=210;epage=212;aulast=Ma;type=0