Tag: cardiogenic shock guidelines

Cardiogenic Shock Protocol Pocket Guide

Using a defined cardiogenic shock best practices protocol derived from real-world data for cardiogenic shock treatment has been associated with improved outcomes. Download this cardiogenic shock guidelines pocket guide, offering best practices derived from the Abiomed Impella® Quality (IQ) Assurance Program and IRB-approved cVAD Study including, minimizing exposure to toxic inotropic medicines, unloading the left … Continue reading “Cardiogenic Shock Protocol Pocket Guide”

Establishing A Heart Recovery Center

A Significant Step in Managing Cardiogenic Shock Dr. Hiram Bezerra discusses the first heart recovery center in his region, which will advance efforts to manage cardiogenic shock. Dr. Bezerra is the director of advanced coronary intervention and mechanical circulatory support at University Hospital Harrington Heart & Vascular Institute in Cleveland, Ohio. Dr. Bezerra explains that … Continue reading “Establishing A Heart Recovery Center”

Discussion Video: Management of Cardiogenic Shock in CCU

Managing Impella Patients in the CCU Dr. Joseph Parrillo, Dr. Brian Porvin, and Dr. Steven Keller discuss managing AMI cardiogenic shock patients in the CCU with Impella®. The discussion covers several key management topics: Management of pressors The importance of invasive hemodynamic monitoring The use of echo for Impella placement to reduce or minimize the … Continue reading “Discussion Video: Management of Cardiogenic Shock in CCU”

Shock Team Protocols with Dr. Truesdell and Dr. Tehrani

Can anyone do it? Absolutely! Alexander Truesdell, MD, FACC, FSCAI, FSVM and Behnam Tehrani, MD, FSCAI, Medical Director, Cardiac Catheterization Laboratories at INOVA Heart and Vascular Institute, discuss their experience in adopting shock team protocols that have had a dramatic effect on survival and native heart recovery at their institution. “Can anyone do it? Absolutely!” … Continue reading “Shock Team Protocols with Dr. Truesdell and Dr. Tehrani”

Adopting a Protocol for Cardiogenic Shock – Pitfalls and Pathways to Success

By Dr. Cathy Jeon, Abiomed Medical Director

 Successfully treating cardiogenic shock requires getting a multi-disciplinary team to quickly agree on the patient’s condition and treatment protocol.That’s why more cardiogenic shock units are adapting treatment algorithms to help quickly guide decision-making and ensure the best possible outcomes for patients. In a video roundtable hosted by Abiomed focused on “Adopting a Protocol for Cardiogenic Shock,” we spoke with two physicians who have developed algorithms at their own institutions about the benefits they provide and how to maximize their effectiveness.The treatment of cardiogenic shock has changed dramatically in recent years. Tools like vasopressors and inotropes, PCI, mechanical circulatory support, and durable support devices have begun to reduce the mortality of what was once a highly fatal condition. With prompt delivery of appropriate interventions, many more patients who reach the hospital in cardiogenic shock can be treated successfully.In addition, successfully treating cardiogenic shock requires the coordination of emergency medical personnel, emergency department physicians, interventionalists, and intensive care cardiologists, according to a 2016 paper by Dr. Jacob Doll of Duke University Medical Center and colleagues.So the challenge today is how to work together as a team to identify cardiogenic shock in the setting of an evolving myocardial infarction and to choose treatment in addition to the routine PCI to revascularize the patient."Developing an algorithm to optimize treatment can help us meet that challenge," said Dr. Jon George, director of the cardiac catheterization laboratory at Einstein Medical Center in Philadelphia.“In shock decisions need to be made rapidly and quickly under a lot of stress with a lot of people around you, and these decisions can vary between providers based on anecdotal evidence or experience. So a protocol will standardize the approach for optimal outcomes based on a validated treatment pathway,” Dr. George said.Continue readingAdopting a Protocol for Cardiogenic Shock – Pitfalls and Pathways to Success