Mechanical life support algorithm developed by simulation for inpatient emergency management of recipients of implantable left ventricular assist devices

• DOI: 10.1016/j.resplu.2022.100254
• Publication Date: 2022-05-31T16:39:54Z
• Authors: Waqas Akhtar; Brigitte Gamble; Kristine Kiff; Agnieszka Wypych-...; Binu Raj; Junko Takata; Fernando Riesgo Gil; Ana Hurtado; Alex Rosenberg; Christopher T. Bo...
• Keywords: Simulation and Education; 03 medical and health sciences; 0302 clinical medicine; LVAD; RC581-951; Mechanical circulatory support; Resuscitation; Advanced life support; Specialties of internal medicine; Left ventricular assist device; Cardiac arrest; 3. Good health

Published guidance concerning emergency management of left ventricular assist device (LVAD) recipients is both limited and lacking in consensus which increases the risk delayed and/or inappropriate actions.In our specialist tertiary referral centre we developed, by iteration, a novel in-hospital resuscitation algorithm for LVAD emergencies validated through simulation assessment multi-disciplinary team. A Mechanical Life Support course was established to provide theoretical practical education combined with consolidate knowledge confidence use. We assessed these measures using scoring, key performance indicator (the time taken restart function) multiple-choice question (MCQ) examination.The mean baseline staff score 2.4 ± 1.2 out maximum 5 (n = 29). After training simulation, increased 3.5 0.8 13).Clinical personnel who were provided able reduce function from value 49 8.2 seconds (pre-training) 20.4 (post-training) 42, p < 0.0001).The 2.5 4 0.6 44, 0.0001) MCQ 18.7 3.4 22.8 2.6, 28 0.0001).We present simplified Advanced aid crucial first minutes where basic interventions are likely be critical assuring good patient outcomes.