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Nursing Care for Patient with Heart Failure

  • Mauro Cotza
  • Giovanni Carboni
Chapter

Abstract

Heart failure (HF) in congenital heart disease (CHD) can affect patients either as an evolution of the primary pathology or as a complication after corrective or palliative heart surgery. Extracorporeal life support (ECLS) is a strategy that substitute whole-body circulation when refractory heart failure cannot be further treated with conventional therapies. Extracorporeal membrane oxygenation (ECMO) can be instituted as a short-term support to take time to recovery or to bridge patients to other assistance devices or heart transplantation. Ventricular assist devices (VAD), conversely, can be used for a long-term support, when recovery is unlike to be achieved in a short time and months are the target bridging time. ECMO and VAD are special topics that require a multidisciplinary team with a specific training, assuring a daily service in intensive care unit (ICU) for ECMO and in the ward or at home for VAD.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Mauro Cotza
    • 1
  • Giovanni Carboni
    • 1
  1. 1.ECMO/ECLS UnitIRCCS Policlinico San DonatoMilanItaly

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