Pediatric ventricular assist devices: Bridge to a new era of perioperative care

Manchula Navaratnam; Katsuhide Maeda; Seth A Hollander

doi:10.1111/pan.13609

Pediatric ventricular assist devices: Bridge to a new era of perioperative care

Paediatr Anaesth. 2019 May;29(5):506-518. doi: 10.1111/pan.13609.

Authors

Manchula Navaratnam¹, Katsuhide Maeda², Seth A Hollander³

Affiliations

¹ Pediatric Anesthesia, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, California.
² Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, California.
³ Pediatric Cardiology, Stanford Children's Hospital, Stanford University Medical Center, Palo Alto, California.

PMID: 30758099
DOI: 10.1111/pan.13609

Abstract

Pediatric ventricular assist devices (VADs) are evolving as a standard therapy for end stage heart failure in children. Major recent developments include the increased use of continuous flow (CF) devices in children and increased experience with congenital heart disease (CHD) and outpatient management. In the current and future era anesthesiologists will encounter more children presenting for VAD implantation, subsequent procedures and heart transplantation. Successful perioperative management requires an understanding of the interaction between the patient's physiology and the device and a framework to troubleshoot problems. This review focuses on CF devices, VAD support for CHD and perioperative management of pulsatile and CF devices in the pediatric population.

Keywords: blood transfusion; cardiac surgery; cardiac transplantation; coagulation; congenital heart disease; hematology.

Publication types

Review

MeSH terms

Child
Child, Preschool
Heart Defects, Congenital
Heart Failure / therapy*
Heart Transplantation
Heart-Assist Devices*
Humans
Infant
Infant, Newborn
Perioperative Care / methods*