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{
    "pk": 11447,
    "title": "Left Ventricular Assist Device Management in the Emergency Department",
    "subtitle": null,
    "abstract": "The prevalence of patients living with a left ventricular assist device (LVAD) is rapidly increasing due to improvements in pump technology, limiting the adverse event profile, and to expanding device indications. To date, over 22,000 patients have been implanted with LVADs either as destination therapy or as a bridge to transplant. It is critical for emergency physicians to be knowledgeable of current ventricular assist devices (VAD), and to be able to troubleshoot associated complications and optimally treat patients with emergent pathology. Special consideration must be taken when managing patients with VADs including device inspection, alarm interpretation, and blood pressure measurement. The emergency physician should be prepared to evaluate these patients for cerebral vascular accidents, gastrointestinal bleeds, pump failure or thrombosis, right ventricular failure, and VAD driveline infections. Early communication with the VAD team and appropriate consultants is essential for emergent care for patients with VADs.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Left Ventricular Assist Device, LVAD"
        }
    ],
    "section": "Critical Care",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/09t8d3xj",
    "frozenauthors": [
        {
            "first_name": "Paul",
            "middle_name": "",
            "last_name": "Trinquero",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Andrew",
            "middle_name": "",
            "last_name": "Pirotte",
            "name_suffix": "",
            "institution": "University of Kansas School of Medicine, Department of Emergency Medicine,\nKansas City, Kansas",
            "department": "None"
        },
        {
            "first_name": "Lauren",
            "middle_name": "P.",
            "last_name": "Gallagher",
            "name_suffix": "",
            "institution": "St. Luke’s Hospital, Department of Emergency Medicine, New Bedford, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Kimberly",
            "middle_name": "M.",
            "last_name": "Iwaki",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Beach",
            "name_suffix": "",
            "institution": "Northwestern University, Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Jane",
            "middle_name": "E.",
            "last_name": "Wilcox",
            "name_suffix": "",
            "institution": "Northwestern University Feinberg School of Medicine, Department of Medicine, Division of Cardiology, Chicago, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2017-11-11T21:40:54Z",
    "date_accepted": "2017-11-11T21:40:54Z",
    "date_published": "2018-07-26T20:35:26Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/11447/galley/6191/download/"
        }
    ]
}