Modern Mechanical Circulatory Support Devices

Justas Ovsianas, Petras Petkevičius, Norvydas Zapustas, Giedrė Bakšytė, Andrius Macas Abstract Patients with hemodynamic instability when conservative measures are not effective remain a significant challenge for the intensive care specialists. Surgically implantable systems, which require considerable amount of time to insert and a cardiosurgery team, which is not present in smaller medical centres are not…

Preoperative Medication Optimization Of Patients‘ With Acute Heart Failure

Lina Mockutė, Giedrė Bakšytė, Andrius Macas Abstract Preoperative cardiovascular management is an essential component of overall perioperative period. The aim of the preoperative optimization of patients‘ state is to improve patients‘ outcomes and to avoid cardiovascular complications in the perioperative period. In the last number of the journal (‘Health Sciences‘, 2013; 23(6): 88-93), the most…

Anaesthesia for Patients with Acute Heart Failure

Lina Mockutė, Andrius Macas, Giedrė Bakšytė Abstract Acute heart failure (AHF) is a clinical syndrome, which more often occurs in the anaesthesiologists‘ clinical practice. This syndrome aggravates patient‘s state and it is associated with an increased risk of perioperative morbidity and mortality. Besides, the increasing number of patients with critical states (cardiogenic shock) who require…

THE TREATMENT OF ACUTE DECOMPENSATED HEART FAILURE, RESISTANT TO DIURETICS WITH NESIRITIDE: A CLINICAL CASE

Pranas Šerpytis Abstract Summary Despite modern treatment and diagnostics methods, patients suffering from acute decompensated heart failure 60 day mortality rate remains at 9,6%, furthermore, the hospitalization of patients with such diagnosis remains one of the most expensive. Nesiritide (recombinant human B-type natriuretic peptide) is a comparatively new drug for intravenous infusions, indicated for patients…