Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Do you really want to delete this prezi?
Neither you, nor the coeditors you shared it with will be able to recover it again.
Make your likes visible on Facebook?
Connect your Facebook account to Prezi and let your likes appear on your timeline.
You can change this under Settings & Account at any time.
Syncardia CardioWest Total Artificial Heart: Bridge-to-Transplantation Device
Transcript of Syncardia CardioWest Total Artificial Heart: Bridge-to-Transplantation Device
A Bridge-to-Transplant Device - composed of Dacron (synthetic polyester) and lined with polyurethane How it works 3:06 - 4:04: Progress Timeline since first heart transplant
8:03 - 8:33: 2009 saw release of "Freedom" device (damn thing's 17.5 pounds!) A women who successfully became accustom to the TAH. Notice "Big Blue" 68%-87% Survival rate Dofetilide therapy (maintains normal heart)
Dobutamine (treats heart failure and cardiogenic shock) @ 10 micrograms/kg/min.
1 mg of midazolam (muscle relaxant)
20-gauge right radial arterial line is inserted (monitors blood pressure) using anesthesia (2 mg of midazolam, 100 mg of lidocaine [treats abnormal heart rhythms], 14 mg of etomidate [helps with induction of anesthesia], 100 micrograms of fentanyl [sedative], and 20 mg of Vecuronium bromide [muscle relaxant]
8 mm endotracheal tube, anesthesia was maintained with 0.4%-0.6% isoflurane and a 60% oxygen and air mixture
right internal jugular 9-French multilumen introducer using the Seldinger Technique (to obtain safe access to blood vessels) for analysis Steps taken and drugs required Two units of blood removed
A 10% dextrose drip carrier & aminocaproic acid (inhibitor for enzymes) infusions
NO @ 20 parts per million (decreases pulmonary ventricular resistance)
probe inserted assessment
Antibiotics administered with divided doses of 400 microgrmas of IV fentanyl Pre-surgery Pre-heart switch Incisions to remove patient’s heart
Blood coagulation inhibitors admin'd
tubes inserted into heart remains
midazolam & isoflurane; dobutamine discontinued
Phenylephrine (maintain an avg arterial pressure)
weaned off cardiopulmonary bypass
heart rate set from 90 to 130 beats/min
recently removed blood replaced after receiving 250 milligrams of IV protamine (replaces chromatin) Resealed 500 micrograms of IV fentanyl to maintain Hg lvls & Noepinephrine to establish a proper Hg lvl
antibiotics and painkillers Post-surgery respiratory infections
genitourinary infections (genitals or urinary organs)
gastrointestinal infections, and blood infections
mental illnesses (seizures, storkes)
multiorgan failure Side effects Questions? Prezi by: Matthew Tucker