From the way I understand it, the impella Device actively decreases the volume inside the left ventricle, decreases wall stretch and the amount of blood the lv has to pump out thereby decreasing the workload of the left ventricle. I don't think it" unloads the lv "in the Sense that a balloon pump does. I do believe that iabp and impella can be utilized at the same time.
After cpr and ROSC yes but during no we don’t. It has a tendency to cause suction during compressions which is why we turn the P level all the way down to avoid the suctioning effect.
My dad suffered a stroke after Impella pump was removed. But I want to think it gave him an additional 9 months with us ♥️
CO = Hrt Rate x Stroke Volume; SV/EDV = Ejection Fraction. EF improved significantly.
Can you elaborate a little more on how unloading the LV raises the diastolic pressure?
From the way I understand it, the impella Device actively decreases the volume inside the left ventricle, decreases wall stretch and the amount of blood the lv has to pump out thereby decreasing the workload of the left ventricle. I don't think it" unloads the lv "in the Sense that a balloon pump does. I do believe that iabp and impella can be utilized at the same time.
Is there a way to setup the monitor like that?
Could the device be inserted during active CPR, to increase c.o. during compressions and improve coronary perfusion?
After cpr and ROSC yes but during no we don’t. It has a tendency to cause suction during compressions which is why we turn the P level all the way down to avoid the suctioning effect.
Great! Thank you
❤