Tag: Cardiogenic Shock Protocol


Importance of Right Heart Catheterization

Dr. Susan Joseph, Advanced Heart Failure Specialist from Baylor University Medical Center, discusses perspectives on management of Impella patients in critical care units, particularly the use of invasive hemodynamic monitoring. PA catheters, or right heart catheterization, provide a minute to minute constant source of information about a patient with shock and their filling pressures, pulmonary … Continue reading “Importance of Right Heart Catheterization”

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

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 … Continue reading “Best Practice Protocols for Cardiogenic Shock Showing Improved Outcomes Within the WellStar System”

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

Developing a Cardiogenic Shock Protocol and a Heart Team Approach with Dr. Salvatore Mannino

Dr. Sal Mannino and a multi-disciplinary team successfully implemented a cardiogenic shock algorithm at a very busy tertiary center, to move away from unilateral decision-making and to serve as a guide for physicians, nurses, and other healthcare providers. He shares the successes and challenges of creating an algorithm as well as how to best disseminate … Continue reading “Developing a Cardiogenic Shock Protocol and a Heart Team Approach with Dr. Salvatore Mannino”