Left Ventricular Assist Device

Season #1 Episode #39

In this podcast episode, Dr. McCloskey discusses Left Ventricular Assist Devices (LVADs) with two guests, Ian and Caitlin. They explore various aspects of LVADs, including their structure, function, troubleshooting, and common issues. They cover the importance of monitoring parameters like MAP, LVAD flow, power, and RPM, as well as interpreting EKG and echocardiogram findings. The podcast outlines different scenarios, such as managing low-flow alarms due to hypovolemia, addressing LVAD pump thrombosis, and responding to LVAD failure during a cardiac event. 

The key takeaways from this episode are as follows:

  1. LVAD Basics: Understanding the fundamental structure and function of LVADs is crucial for healthcare professionals dealing with these devices.
  2. Troubleshooting Low Flow Alarms: Recognizing the potential causes of low flow alarms, such as hypovolemia, and the importance of assessing the patient's condition thoroughly.
  3. Identifying Pump Thrombosis: Recognizing signs of pump thrombosis, which can lead to reduced LVAD performance and the need for timely intervention.
  4. Managing LVAD Failure: Responding to LVAD failure during a cardiac event, including initiating ACLS protocols and troubleshooting the device.
  5. Communication with Surgeons: Collaborating with cardiac surgeons when dealing with critical LVAD issues, such as pump thrombosis or device malfunction, is essential to ensure the best patient care.