The use of chest compressions in patients with left ventricular assist devices (LVAD) have been viewed to cause a potential damage to the outflow graft and hence have been a topic of controversy. We report a case of a LVAD patient who needed chest compressions during resuscitation for severe right ventricular failure. With the presence of trans-esophageal echocardiogram we noticed that the chest compressions did not need to be full ACLS compressions but modified to gentle right ventricular (RV) compressions in order to move blood into a normally functioning LVAD. We report this as a call for the LVAD medical providers to rethink concepts of standard resuscitation.
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Bhimaraj, Arvind; Suarez, Erik E.; and Estep, Jerry D.
"Right ventricle chest compressions: do we need a new paradigm for LVAD patients needing resuscitation? A case report.,"
The VAD Journal: Vol. 3
, Article 9.
Available at: http://uknowledge.uky.edu/vad/vol3/iss1/9