In Massachusetts we Have been informed that there is no proper way know at this time to give CPR to a person with VADs. Is this correct, I could use any information on VADs and any informnation that would assist with ambulance care
A left ventricular assist device is a mechanical device which bypasses the failing left ventricle in those with end stage heart disease. It often provides a bridge to transplant in those that could not make it with their own heart.
Normal CPR involves repiratory support through mouth to mouth breathing and circulatory support through chest compressions. Depending on the model and the procedure with which the ventricular assist device was implanted, cardiac compressions may have no or markededly diminished effect. The devices do generally continue to function even when a patient is in abnormal rhythms or have a respiratory failure. In these cases, respiratory support is more important.
The devices can theoretically malfucntion. Some of the devices have a hand assist pump to use when the device has a mechanical malfunction or a power failure.
Most heart failure programs have a dedicated person for specific questions related to assist devices. I would discuss the specifics with that person.
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