Patient Management
Improving Outcomes in Cardiogenic Shock Through Best Practices
Prior to discharge from the cath lab and in the ICU, reassess hemodynamics via PA catheter. Best practices include measuring cardiac power output (CPO) and pulmonary artery pulsatility index (PAPi) to evaluate the adequacy of left-sided Impella® support and right heart function, while reducing inotropes.
The AMI cardiogenic shock guidelines present criteria for ongoing patient assessment for myocardial recovery and weaning. If patients meet the criteria for myocardial recovery, wean and remove Impella after a minimum of 48 hours. If recovery is inadequate or there are no signs of recovery in the first 48 to 72 hours, consider escalation of care or transfer.
Patient Management Topics
Learn more about different patient management aspects, including access site management, positioning, repositioning, alarm handling, weaning, escalation, and purge system management.
Impella Device Management on ICU
Joseph Parrillo, MD, Brian Porvin, DO, and Steven Keller, MD, PhD, discuss patient management in intensive care management with Impella heart pumps.
LVEDP and SmartAssist® Technologie
Learn how the LV waveform is derived and how left ventricular end-diastolic pressure (LVEDP) is measured from this waveform using SmartAssist technology.
Explore the Education Library
Additional Services
Impella Connect®
Your cloud-based, remote monitoring of Impella heart pump status to help improve patient outcomes. With Impella Connect, authorized hospital staff can review cases at any time from any internet-connected device.
Clinical Support Center
Your on-call resource for 24/7 clinical and technical support. Contact the Clinical Support Center (CSC) at +49 (0)1805 2246633 (EU) for patient management expertise to help you achieve the best possible patient outcomes.
NPS-2630