Patient Management
Improving Outcomes in Cardiogenic Shock Through Best Practices
Prior to discharge from the cath lab and in the ICU, reassess hemodynamics via PA catheter. Best practices include measuring cardiac power output (CPO) and pulmonary artery pulsatility index (PAPi) to evaluate the adequacy of left-sided Impella® heart pump support and right heart function, while reducing inotropes.
The AMI cardiogenic shock guidelines present criteria for ongoing patient assessment for myocardial recovery and weaning. If patients meet the criteria for myocardial recovery, wean and remove Impella after a minimum of 48 hours. If recovery is inadequate or there are no signs of recovery in the first 48 to 72 hours, consider escalation of care or transfer.
Patient Management Topics
Learn more about different patient management aspects, including access site management, positioning, repositioning, alarm handling, weaning, escalation, and purge system management.
Monitoring Patients With Impella Heart Pumps on the ICU
For patients with cardiogenic shock (CS) supported with percutaneous ventricular assist devices (pVADs) in the ICU, Prof. Christophe Vandenbriele, MD, et al. assert that haemodynamic monitoring tools and echocardiography constitute the cornerstone of monitoring, complemented by numerous biochemical tests to optimize the management of these patients.
Integrating Hemodynamic Assessment, Laboratory Data, and Imaging Techniques for Timely Detection of Deterioration and Recovery
For patients with cardiogenic shock (CS) supported with percutaneous ventricular assist devices (pVADs) in the ICU, Prof. Christophe Vandenbriele, MD, et al. assert that haemodynamic monitoring tools and echocardiography constitute the cornerstone of monitoring, complemented by numerous biochemical tests to optimize the management of these patients.
Timing and Treatment Strategies According to SCAI Classification in Cardiogenic Shock
Prof. Giuseppe Tarantini and colleagues describe a “4 early step” approach for timely management of patients with acute myocardial infarction cardiogenic shock (AMICS).
Prof. Giuseppe Tarantini: Timing and Treatment Strategies for Cardiogenic Shock
Professor Giuseppe Tarantini discusses timing and treatment strategies for cardiogenic shock.
Explore the Education Library and Additional Resources
Discover Downloads and Additional Resources
Discover additional resources from our download section.
From Escalation to Weaning Strategies — How to Integrate the ECMELLA Concept
This article of Benedikt Schrage, MD, et al. describe escalation and weaning best practices for patients with cardiogenic shock supported with ECMELLA—a combination of Impella pumps and extracorporeal membrane oxygenation (ECMO).
Discover More About Cardiogenic Shock
NPS-2630