RECOMMENDATIONS FOR THE MANAGEMENT OF PATIENTS WITH SHORT-TERM MECHANICAL CIRCULATORY ASSISTANCE
Recomendaciones de manejo de pacientes con asistencia circulatoria mecánica de corta duración
Author
Rossel, Víctor; Hospital del Salvador.
Instituto Nacional del Tórax.
Departamento Medicina Oriente, Universidad de Chile.
Díaz, Rodrigo
Merello, Lorenzo
Aranguiz-Santander, Ernesto
Stockins, Alex
Olivares, Gabriel
Abstract
There has been a progressive increase in the use of mechanical circulatory support in our country in the last years, mainly in the short term: as a bridge to cardiac transplant or recovery, which has allowed to rescue patients from a population that concentrates high rates of complications and mortality. This motivated that the Ministry of Health convened a series of experts in the area of heart failure, transplantation and mechanical circulatory support, representatives of different public and private health centers in the country, with the objective of developing recommendations on the use of short term mechanical assistance devices, which would serve as a reference for the proper management of these patients. This clinical experts consensus document contains topics related to: definitions and general concepts; indications; contraindications; specific aspects of starting, follow-up and weaning of the devices; process of transfer of patients in circulatory assistance from one center to another and finally criteria of organization, means and competences to be fulfilled by the centers that offer this therapeutic option. There has been a progressive increase in the use of mechanical circulatory support in our country in the last years, mainly in the short term: as a bridge to cardiac transplant or recovery, which has allowed to rescue patients from a population that concentrates high rates of complications and mortality. This motivated that the Ministry of Health convened a series of experts in the area of heart failure, transplantation and mechanical circulatory support, representatives of different public and private health centers in the country, with the objective of developing recommendations on the use of short term mechanical assistance devices, which would serve as a reference for the proper management of these patients. This clinical experts consensus document contains topics related to: definitions and general concepts; indications; contraindications; specific aspects of starting, follow-up and weaning of the devices; process of transfer of patients in circulatory assistance from one center to another and finally criteria of organization, means and competences to be fulfilled by the centers that offer this therapeutic option.