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Mechanical system consisting of a blood
What is a VAD? pump and control unit for temporary sup-
port of blood circulation
Decreases the workload of the heart
What does the VAD do for the heart? while maintaining adequate blood flow
and BP
1. Cardiac index <1.8
2. Aortic pressure <90
3. PAWP <10 mmHg
What are indications for RVAD?
4. Atrial pressure >20 mmHg
5. LA pressure <15 mmHg
6. RA pressure >20 mmHg
Is an RVAD or LVAD set higher when
RVAD
using a BiVAD?
Because the LV is usually ejecting, thus
Why are RVADs often set higher than the
adding to the flow coming through the
LVAD when using a BiVAD?
aorta
Where is inflow cannulation for RVAD? RA
Where is outflow cannulation for the
PA
RVAD?
1. Post cardiotomy shock
2. Decreased PAP
What is an indications for LVAD? 3. Increased LVEDP
4. Decreased contractility
5. Decreased pulmonary oxygenation
1. Inflow-LA or LV apex
Where is cannulation for the LVAD?
2. Outflow-Ascending aorta
What does the ACT need to be for a
180-220
VAD?
When weaning a VAD, what can cause
Increasing PEEP 5-15
increased CI?
1. Failure to wean from CPB
What are reasons for intra-op insertion of
2. Patient on Inotropic agents
VAD?
3. IABP is working
What are reasons for VAD insertion out-
1/2
side the OR?