A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device

Left ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk facto...

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Autores principales:	Nimesh Patel, Mohamed Fayed, Ahmed Ahmed, Akshatha G. Rao, Derrick Williams, Joseph A. Sanders
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	brain tumor resection coagulopathy left ventricular assist device hematoma Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/73a7a1af56aa454db1eee6f210ac0303
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spelling	oai:doaj.org-article:73a7a1af56aa454db1eee6f210ac03032021-11-27T23:30:32ZA Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device2348-05482348-926X10.1055/s-0041-1739347https://doaj.org/article/73a7a1af56aa454db1eee6f210ac03032021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739347https://doaj.org/toc/2348-0548https://doaj.org/toc/2348-926XLeft ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk factors, some of which include acquired coagulopathies, anticoagulation status, and hemodynamic instability. Thus, performing noncardiac surgeries in patients with an LVAD requires a precise and complex surgical strategy with optimal communication among the surgical team. Therefore, knowledge of best perioperative approaches for patients with LVAD is urgently needed. Here, we present a detailed perioperative surgical approach in the case of a brain tumor resection for a 62-year-old patient with an LVAD whose course was complicated with a brain hematoma. Critical details include key aspects of monitoring patient hemodynamic stability and handling of anesthesia, patient positioning, and antiplatelet and anticoagulation drug therapy. This case highlights the importance for anesthesiologists to be well informed about perioperative LVAD management, as well as common complications that they may encounter.Nimesh PatelMohamed FayedAhmed AhmedAkshatha G. RaoDerrick WilliamsJoseph A. SandersThieme Medical and Scientific Publishers Pvt. Ltd.articlebrain tumor resectioncoagulopathyleft ventricular assist devicehematomaAnesthesiologyRD78.3-87.3ENJournal of Neuroanaesthesiology and Critical Care (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	brain tumor resection coagulopathy left ventricular assist device hematoma Anesthesiology RD78.3-87.3
spellingShingle	brain tumor resection coagulopathy left ventricular assist device hematoma Anesthesiology RD78.3-87.3 Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
description	Left ventricular assist devices (LVAD) are mechanical pumps that have become a standard treatment for end-stage heart failure. As patients with LVAD are living longer, the number of noncardiac surgeries performed in these patients is rising. However, these patients present a unique set of risk factors, some of which include acquired coagulopathies, anticoagulation status, and hemodynamic instability. Thus, performing noncardiac surgeries in patients with an LVAD requires a precise and complex surgical strategy with optimal communication among the surgical team. Therefore, knowledge of best perioperative approaches for patients with LVAD is urgently needed. Here, we present a detailed perioperative surgical approach in the case of a brain tumor resection for a 62-year-old patient with an LVAD whose course was complicated with a brain hematoma. Critical details include key aspects of monitoring patient hemodynamic stability and handling of anesthesia, patient positioning, and antiplatelet and anticoagulation drug therapy. This case highlights the importance for anesthesiologists to be well informed about perioperative LVAD management, as well as common complications that they may encounter.
format	article
author	Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders
author_facet	Nimesh Patel Mohamed Fayed Ahmed Ahmed Akshatha G. Rao Derrick Williams Joseph A. Sanders
author_sort	Nimesh Patel
title	A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
title_short	A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
title_full	A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
title_fullStr	A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
title_full_unstemmed	A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device
title_sort	complicated course of brain tumor resection in a patient with a left ventricular assist device
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/73a7a1af56aa454db1eee6f210ac0303
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A Complicated Course of Brain Tumor Resection in a Patient with a Left Ventricular Assist Device

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