左心室辅助装置植入全程管理专家共识(2023年)  

Expert consensus on the whole-process management of left ventricular assist device implantation 2023

作　　者：《左心室辅助装置植入全程管理专家共识(2023年)》工作组 四川省医疗卫生与健康促进会心脏重症与辅助支持专业委员会 中国超声心动图学会 王艺萍[2] 王文艳[3] 左明良[4] 范丹 于涛[6] 曾昪 郭静 税敏 梁羽 黄克力[6] Workgroup of Expert Consensus on the Whole-Process Management of Left Ventricular Assist Device Implantation(2023);Cardiac Critical Care and Mechanical Circulation Support Committee of Sichuan Medical and Health Care Promotion Institute;Chinese Society of Echocardiography;HUANG Ke-li;YU Tao

机构地区：[1]不详 [2]四川省医学科学院·四川省人民医院重症医学中心 [3]四川省医学科学院·四川省人民医院心衰中心 [4]四川省医学科学院·四川省人民医院心血管超声及心功能科 [5]四川省医学科学院·四川省人民医院麻醉手术中心 [6]四川省医学科学院·四川省人民医院心脏外科中心 [7]四川省医学科学院·四川省人民医院康复科

出　　处：《实用医院临床杂志》2024年第1期43-55,共13页Practical Journal of Clinical Medicine

基　　金：四川省科技计划重点研发项目(编号:2020YFQ0060,2021YFS0380,2022YFS0302,2021YFS0375);四川省医学科学院·四川省人民医院临床研究及转化基金(编号:2020LY10,2021LZ02)。

摘　　要：近年来,左心室辅助装置(left ventricular assist device,LVAD)在我国取得迅猛发展,但其仍属于高度专业性的限制类医疗技术,目前国内多数单位开展例数少。临床关注仍然主要在围手术期,在LVAD患者精细化管理、康复训练、院外培训护理、心理支持、精确随访等方面仍有许多不足。LVAD项目的成功实施需要多学科专业团队协作,包括心血管内、外科,重症医学、超声心动图、麻醉,护理、感染、营养、康复、心理、LVAD协调员等。为此,由四川省医疗卫生与健康促进会心脏重症与辅助支持专业委员会和中国超声心动图学会发起并组织此领域专家商讨制定LVAD植入的围手术期全程管理规范,以期对国内该技术领域的开展提供借鉴和参考,进一步提高LVAD植入前评估、临床手术和围术期管理质量,更好地提供安全有效的医疗服务。In recent years,the left ventricular assist device(LVAD)has developed rapidly in China.However,it is still a highly professional restricted medical technology.At present,the number of cases in most hospitals is small.Clinical attention is still mainly on the perioperative period.There are still many deficiencies in the meticulous management,rehabilitation training,out-of-hospital training and nursing,psychological support,accurate follow-up and other aspects in the LVAD patients.The successful implementation of LVAD requires the collaboration of a multidisciplinary team,including cardiology,cardiac surgery,ICU,echocardiography,anesthesia,nursing,infectious disease,nutrition,rehabilitation,psychology,VAD coordinator,etc.For this reason,the Cardiac Critical Care and Mechanical Circulation Support Committee of Sichuan Medical and Health Care Promotion Institute and Chinese Society of Echocardiography for Medical and Health Care initiated and organized experts in this field to discuss the formulation of perioperative management standards for LVAD in order to provide reference for the development of this technical field in China,further improve the quality of preimplantation evaluation,clinical surgery and perioperative management to provide safe and effective medical services better.

关 键 词：左心室辅助 终末期心力衰竭 围术期 共识 

分 类 号：R541.6[医药卫生—心血管疾病]