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Appendix
Reference
Guides
Alarms and
Emergencies
Patient
Management
Surgical
Implant and
Explant
Monitor
Peripherals
and
Accessories
HVAD
®
Pump Overview
Introduction
128 HVAD® Instructions for Use
7.3 Emergency Management
In the event of an emergency, such as a cardiac arrest, patients with the HeartWare
™
HVAD
™
™
HVAD
™
System can be left on, nothing needs to be turned off or disconnected. If chest compressions are
®
Pump once the patient is stable.
function and positioning of HVAD
®
Pump.
CAUTION:
and positioning of HVAD
®
Pump.
7.4 Physical Rehabilitation
Physical Rehabilitation begins as soon as the patient admitted to the intensive care unit is stable.
Early extubation, removal of monitoring lines, and patient ambulation are encouraged. Turning
the patient from side to side should start once the patient is clinically stable. Physical therapy
moved to a chair and should use a bed bike, exercise bicycle or treadmill as soon as possible.
Within a few days of VAD implant, the patient should be ambulating in the halls and performing
mild exercise under the supervision of a physical therapist. The nursing, physical therapy, and
occupational therapy staff will work together to prepare the patient for hospital discharge
- whether to home or a rehabilitation facility. If discharged to home, at the clinician’s discretion,
the patient may attend a structured outpatient cardiac rehabilitation program.
7.5 Patient Education
Patient training is critical to ensure safe and successful outcomes. The patient must be able to
™
HVAD
™
System and in responding to
emergencies. In order to ensure their understanding and ability, patients should be trained using
hands-on demonstrations. At the end of the training, the patient should be able to do the
following:
Identify the AC adapter and successfully connect it to the controller and an electrical outlet.
Identify the power ports on the controller and be able to successfully replace batteries as indicated.
Successfully recharge batteries with the battery charger.
Monitor the remaining battery time on each battery according to LED light displays.
Identify audible and text alarm messages on the controller.
Understand the meaning of alarms and demonstrate appropriate responses to alarm conditions.
Successfully switch from one controller to another controller.
Understand the importance of not pulling, twisting or kinking the driveline or power cables.
Educate patients and/or caregiver in the importance of blood pressure monitoring and
parameters for notifying the clinician.
Patients should be educated in the importance of having a back-up controller readily available
at all times including when changing power sources. Clinicians should emphasize this education
in patients who may be at risk of catastrophic cardiovascular collapse if a pump shutdown
occurs. Patients at risk include those with a fused aortic valve, an aortic valve that has been
sewn shut due to aortic valve regurgitation, or patients with very poor ventricular function.
Following hospital discharge, the patient’s understanding of HeartWare
™
HVAD
™
System
operation and alarms should be re-evaluated during routine follow-up visits. This training should
include reinforcement of the procedure for switching to a back-up controller in the case of an
emergency.
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