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.
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Interview with Dr. Pappalardo on “Optimal ICU Management of Patients Requiring Hemodynamic Support with an Impella® Device"
Watch the interview with Dr. Pappalardo and learn more about ICU Management of patients requiring hemodynamic support.
Digital Summit Recording 2021
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