Best Practice Protocols for Cardiogenic Shock Showing Improved Outcomes Within the WellStar System

October 31, 2018

Dr. Salvatore Mannino, Director of the Short-Term Mechanical Circulatory Support Program at WellStar Health System joins Dr. Seth Bilazarian to discuss how his team has implemented a cardiogenic shock protocol that has shown to improve patient outcomes. Part of the protocol includes the following best practices:

  • Safe femoral practices for large bore access
  • Pre-PCI hemodynamic support
  • Use of PA catheters in all patients
  • Limiting and early weaning of pressors and inotropes
  • Eary and contemporaneous multi-disciplinary collaboration
  • Impella at all PCI-capable hospitals
  • Regionalization of care
  • 24x7 cardiology critical care coverage

Initial results at WellStar show a 72% survival rate (n=28) when the cardiogenic shock algorithm and best practices were used. Finally, the hub and spoke model has played an important role in improving outcomes and standardizing patient care.

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