Evidence map›Paper›PMID 38526578›Full record

GuidelineIntensive care medicine2024

British societies guideline on the management of emergencies in implantable left ventricular assist device recipients in transplant centres.

Waqas Akhtar, Veronica Rial Baston, Marius Berman, Sai Bhagra, Colin Chue, Charles D Deakin, Jonathan R Dalzell, Joel Dunning, John Dunning, Roy S Gardner and 20 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 11 institutions in 1 country.

Waqas AkhtarHarefield Hospital, London, UK. waqas.akhtar@nhs.net.ORCID 0000-0001-7563-7346
Veronica Rial BastonGolden Jubilee National Hospital, Glasgow, UK.
Marius BermanRoyal Papworth Hospital, Cambridge, UK.
Sai BhagraRoyal Papworth Hospital, Cambridge, UK.
Colin ChueUniversity Hospitals Birmingham, Birmingham, UK.
Charles D DeakinResuscitation Council UK, London, UK.
Jonathan R DalzellGolden Jubilee National Hospital, Glasgow, UK.
Joel DunningCardiac Advanced Resuscitation Education, Festus, MO, USA.
John DunningHarefield Hospital, London, UK.
Roy S GardnerGolden Jubilee National Hospital, Glasgow, UK.
Kristine KiffHarefield Hospital, London, UK.
Shishir KoreWythenshawe Hospital, Manchester, UK.
Sern LimUniversity Hospitals Birmingham, Birmingham, UK.
Guy MacGowanFreeman Hospital, Newcastle, UK.
Ian NaldrettBritish Association of Critical Care Nurses, Newcastle, UK.
Marlies OstermannIntensive Care Society, London, UK.
Sofia PintoHarefield Hospital, London, UK.
Stephen PettitRoyal Papworth Hospital, Cambridge, UK.
Fernando Riesgo GilHarefield Hospital, London, UK.
Alex RosenbergHarefield Hospital, London, UK.
Antonio RubinoRoyal Papworth Hospital, Cambridge, UK.
Rana SayeedSociety for Cardiothoracic Surgery in Great Britain & Ireland, London, UK.
Joao SequeiraRoyal Papworth Hospital, Cambridge, UK.
Neil SwansonBritish Cardiovascular Society, London, UK.
Steven TsuiSociety for Cardiothoracic Surgery in Great Britain & Ireland, London, UK.
Christopher WalkerAssociation of Cardiothoracic Anaesthesia and Critical Care, London, UK.
Stephen WebbIntensive Care Society, London, UK.
Andrew WoodsFreeman Hospital, Newcastle, UK.
Rajamiyer VentkateswaranWythenshawe Hospital, Manchester, UK.
Christopher T BowlesHarefield Hospital, London, UK.
Harefield Hospital · GBPapworth Hospital · GBGolden Jubilee National Hospital · GBSociety for Cardiothoracic Surgery in Great Britain & Ireland · GBFreeman Hospital · GBIntensive Care Society · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBAssociation of British Paediatric Nurses · GBBritish Cardiovascular Society · GBResuscitation Council · GBWythenshawe Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An implantable left ventricular assist device (LVAD) is indicated as a bridge to transplantation or recovery in the United Kingdom (UK). The mechanism of action of the LVAD results in a unique state of haemodynamic stability with diminished arterial pulsatility. The clinical assessment of an LVAD recipient can be challenging because non-invasive blood pressure, pulse and oxygen saturation measurements may be hard to obtain. As a result of this unusual situation and complex interplay between the device and the native circulation, resuscitation of LVAD recipients requires bespoke guidelines. Through collaboration with key UK stakeholders, we assessed the current evidence base and developed guidelines for the recognition of clinical deterioration, inadequate circulation and time-critical interventions. Such guidelines, intended for use in transplant centres, are designed to be deployed by those providing immediate care of LVAD patients under conditions of precipitous clinical deterioration. In summary, the Joint British Societies and Transplant Centres LVAD Working Group present the UK guideline on management of emergencies in implantable LVAD recipients for use in advanced heart failure centres. These recommendations have been made with a UK resuscitation focus but are widely applicable to professionals regularly managing patients with implantable LVADs.

Indexed as

Clinical DeteriorationHeart-Assist DevicesHeart FailureHeart TransplantationEmergenciesHumansCardiac arrestHeart failureLVADMechanical circulatory supportResuscitation

Identifiers

PMID38526578
PMCPMC11018667
OpenAlexW4393157077

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.