Cargando…

Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices

Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted i...

Descripción completa

Detalles Bibliográficos
Autores principales: Bowles, Christopher T, Hards, Rachel, Wrightson, Neil, Lincoln, Paul, Kore, Shishir, Marley, Laura, Dalzell, Jonathan R, Raj, Binu, Baker, Tracey A, Goodwin, Diane, Carroll, Petra, Pateman, Jane, Black, John J M, Kattenhorn, Paul, Faulkner, Mark, Parameshwar, Jayan, Butcher, Charles, Mason, Mark, Rosenberg, Alexander, McGovern, Ian, Weymann, Alexander, Gwinnutt, Carl, Banner, Nicholas R, Schueler, Stephan, Simon, Andre R, Pitcher, David W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750371/
https://www.ncbi.nlm.nih.gov/pubmed/29127102
http://dx.doi.org/10.1136/emermed-2016-206172
_version_ 1783289708335333376
author Bowles, Christopher T
Hards, Rachel
Wrightson, Neil
Lincoln, Paul
Kore, Shishir
Marley, Laura
Dalzell, Jonathan R
Raj, Binu
Baker, Tracey A
Goodwin, Diane
Carroll, Petra
Pateman, Jane
Black, John J M
Kattenhorn, Paul
Faulkner, Mark
Parameshwar, Jayan
Butcher, Charles
Mason, Mark
Rosenberg, Alexander
McGovern, Ian
Weymann, Alexander
Gwinnutt, Carl
Banner, Nicholas R
Schueler, Stephan
Simon, Andre R
Pitcher, David W
author_facet Bowles, Christopher T
Hards, Rachel
Wrightson, Neil
Lincoln, Paul
Kore, Shishir
Marley, Laura
Dalzell, Jonathan R
Raj, Binu
Baker, Tracey A
Goodwin, Diane
Carroll, Petra
Pateman, Jane
Black, John J M
Kattenhorn, Paul
Faulkner, Mark
Parameshwar, Jayan
Butcher, Charles
Mason, Mark
Rosenberg, Alexander
McGovern, Ian
Weymann, Alexander
Gwinnutt, Carl
Banner, Nicholas R
Schueler, Stephan
Simon, Andre R
Pitcher, David W
author_sort Bowles, Christopher T
collection PubMed
description Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients.
format Online
Article
Text
id pubmed-5750371
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-57503712018-02-12 Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices Bowles, Christopher T Hards, Rachel Wrightson, Neil Lincoln, Paul Kore, Shishir Marley, Laura Dalzell, Jonathan R Raj, Binu Baker, Tracey A Goodwin, Diane Carroll, Petra Pateman, Jane Black, John J M Kattenhorn, Paul Faulkner, Mark Parameshwar, Jayan Butcher, Charles Mason, Mark Rosenberg, Alexander McGovern, Ian Weymann, Alexander Gwinnutt, Carl Banner, Nicholas R Schueler, Stephan Simon, Andre R Pitcher, David W Emerg Med J Review Advances in left ventricular assist device (LVAD) therapy have resulted in increasing numbers of adult LVAD recipients in the community. However, device failure, stroke, bleeding, LVAD thrombosis and systemic infection can be life-threatening emergencies. Currently, four LVAD systems are implanted in six UK transplant centres, each of which provides device-specific information to local emergency services. This has resulted in inconsistent availability and content of information with the risks of delayed or inappropriate decision-making. In order to improve patient safety, a consortium of UK healthcare professionals with expertise in LVADs developed universally applicable prehospital emergency algorithms. Guidance was framed as closely as possible on the standard ABCDE approach to the assessment of critically ill patients. BMJ Publishing Group 2017-12 2017-11-10 /pmc/articles/PMC5750371/ /pubmed/29127102 http://dx.doi.org/10.1136/emermed-2016-206172 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Review
Bowles, Christopher T
Hards, Rachel
Wrightson, Neil
Lincoln, Paul
Kore, Shishir
Marley, Laura
Dalzell, Jonathan R
Raj, Binu
Baker, Tracey A
Goodwin, Diane
Carroll, Petra
Pateman, Jane
Black, John J M
Kattenhorn, Paul
Faulkner, Mark
Parameshwar, Jayan
Butcher, Charles
Mason, Mark
Rosenberg, Alexander
McGovern, Ian
Weymann, Alexander
Gwinnutt, Carl
Banner, Nicholas R
Schueler, Stephan
Simon, Andre R
Pitcher, David W
Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title_full Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title_fullStr Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title_full_unstemmed Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title_short Algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
title_sort algorithms to guide ambulance clinicians in the management of emergencies in patients with implanted rotary left ventricular assist devices
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750371/
https://www.ncbi.nlm.nih.gov/pubmed/29127102
http://dx.doi.org/10.1136/emermed-2016-206172
work_keys_str_mv AT bowleschristophert algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT hardsrachel algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT wrightsonneil algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT lincolnpaul algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT koreshishir algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT marleylaura algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT dalzelljonathanr algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT rajbinu algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT bakertraceya algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT goodwindiane algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT carrollpetra algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT patemanjane algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT blackjohnjm algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT kattenhornpaul algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT faulknermark algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT parameshwarjayan algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT butchercharles algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT masonmark algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT rosenbergalexander algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT mcgovernian algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT weymannalexander algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT gwinnuttcarl algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT bannernicholasr algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT schuelerstephan algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT simonandrer algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices
AT pitcherdavidw algorithmstoguideambulancecliniciansinthemanagementofemergenciesinpatientswithimplantedrotaryleftventricularassistdevices