Author: Sikachi, Rutuja R; Anca, Diana
Title: Anesthetic considerations in a patient with LVAD and COVID-19 undergoing video-assisted thoracic surgery: A Case Report: LVAD and VATS in patients with COVID-19 Cord-id: ci1ttnxu Document date: 2020_12_17
ID: ci1ttnxu
Snippet: Increased survival with Left Ventricular Assist Device (LVAD) has led to a large number of patients with LVADs presenting for non-cardiac surgeries (NCS). With studies showing that a trained non-cardiac anesthesiologist can safely manage these patients when they present for NCS, it is vital that all anesthesiologists understand the LVAD physiology and its implications in various surgeries. This is even more relevant during the current pandemic where these complex cardiopulmonary interactions may
Document: Increased survival with Left Ventricular Assist Device (LVAD) has led to a large number of patients with LVADs presenting for non-cardiac surgeries (NCS). With studies showing that a trained non-cardiac anesthesiologist can safely manage these patients when they present for NCS, it is vital that all anesthesiologists understand the LVAD physiology and its implications in various surgeries. This is even more relevant during the current pandemic where these complex cardiopulmonary interactions may be even more challenging in patients with COVID-19. We describe a case of a patient with COVID-19 with an LVAD who needed thoracoscopic decortication for recurrent complex pleural effusion and briefly discuss unique challenges presented and their management.
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