Implantable Assist Devices
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‘Management of RV dysfunction should focus on<br />
prevention rather than treatment.’<br />
RVSWI >300 mmHg*ml ⁄m²<br />
{[meanPAP (mmHg)-meanCVP (mmHg)] x SV (ml)} ⁄ BSA (m²)<br />
q Avoid RV-volume overload and maintain CVP 16 to18 mm Hg.<br />
q Confirm proper function of the LVAD. High pump speeds that cause<br />
leftward septal shift should be avoided.<br />
q If the cardiac index is < 2.0 liters/min/m² and the CVP > 20 mm Hg,<br />
a temporary RVAD should be considered.
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