Perioperative management of patients with left ventricular assist devices undergoing repair of hip fracture

•LVAD patients may tolerate hip ORIF without excess hemodynamic changes.•Non-surgical site infections are a frequent postoperative complication.•Cautious fluid administration is important to prevent RV dysfunction.

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-09, Vol.56, p.24-26
Main Authors: Ivie, Ryan M.J., Maniker, Robert B., Alexander, Jason K., Sobol, Julia B.
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia, General - adverse effects
Anesthesia, General - methods
Anesthetics, Local - administration & dosage
Anticoagulants
Anticoagulants - administration & dosage
Blood Loss, Surgical - statistics & numerical data
Erythrocyte Transfusion - statistics & numerical data
Femoral Nerve - drug effects
Fracture Fixation, Intramedullary - adverse effects
Fractures
Heart-Assist Devices - adverse effects
Hip Fractures - surgery
Humans
Infections
Intensive care
Myocardial Ischemia - surgery
Nerve Block - methods
Pain, Postoperative - etiology
Pain, Postoperative - prevention & control
Patients
Perioperative Care - adverse effects
Perioperative Care - methods
Surgery
Treatment Outcome
Ultrasonic imaging
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Description
Summary:•LVAD patients may tolerate hip ORIF without excess hemodynamic changes.•Non-surgical site infections are a frequent postoperative complication.•Cautious fluid administration is important to prevent RV dysfunction.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2018.12.037