What the pediatric nurse needs to know about the Impella cardiac assist device

Background: Cardiogenic shock in children still carries a high mortality risk despite advances in medical therapy. The use of temporary mechanical circulatory supports is an accepted strategy to bridge patients with acute heart failure to recovery, decision, transplantation or destination therapy. T...

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Bibliographic Details
Published in:Perfusion 2024-04, Vol.39 (1_suppl), p.95S-106S
Main Authors: Borrelli, Giorgia, Nittolo, Ilaria, Bochicchio, Chiara, Trainelli, Laura, Confalone, Valerio, Satta, Tiziana, Cancani, Federica, Kirk, Richard, Amodeo, Antonio, Di Nardo, Matteo
Format: Article
Language:English
Subjects:
Axial flow pumps
Bridge failure
Child
Children
Congestive heart failure
Extracorporeal membrane oxygenation
Extracorporeal Membrane Oxygenation - methods
Health risks
Heart failure
Heart Failure - therapy
Heart transplantation
Heart-Assist Devices
Humans
Invasiveness
Medical personnel
Mortality risk
Oxygenation
Pediatric Nursing - methods
Pediatrics
Recovery
Shock, Cardiogenic - therapy
Special Issue: EuroELSO 2024
Ventricle
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Summary:Background: Cardiogenic shock in children still carries a high mortality risk despite advances in medical therapy. The use of temporary mechanical circulatory supports is an accepted strategy to bridge patients with acute heart failure to recovery, decision, transplantation or destination therapy. These devices are however limited in children and extracorporeal membrane oxygenation (ECMO) remains the most commonly used device. Veno-arterial ECMO may provide adequate oxygen delivery, but it does not significantly unload the left ventricle, and this may prevent recovery. To improve the likelihood of left ventricular recovery and minimize the invasiveness of mechanical support, the Impella axial pump has been increasingly used in children with acute heart failure in the last decade. Purpose: There are still limited data describing the Impella indications, management and outcomes in children, therefore, we aimed to provide a comprehensive narrative review useful for the pediatric nurses to be adequately trained and acquire specific competencies in Impella management.
ISSN:0267-6591
1477-111X
1477-111X
DOI:10.1177/02676591241237761