ACLS - ADULT VENTRICULAR ASSIST DEVICE ALGORITHM

Adult Ventricular Assist Device Algorithm Assist ventilation if necessary and assess perfusion Normal skin color and temperature? Normal capillary refill? Y Follow local EMS W external chest compressions N 4 Y ) Assess and treat Yes - N No Assess LVAD function non-LVAD causes for altered < Adequate perfusion? » » Look/listen for alarms mental status, such as \ / e Listen for LVAD hum * Hypoxia » Blood glucose * Overdose e Stroke Yos Y / MAP >50 mm Hg and/or LVAD functioning? > PETCO, >20 mm Hg*? ' No Y Yes No Attempt to restart LVAD * Driveline connected? * Power source connected? * Need to replace system controller? 4 Y Do not perform No / LVAD restarted? > and ACLS protocols ) V Notify VAD center and/or medical control and transport © 2020 American Heart Association s - Yes *The PETCO, cutoff of >20 mm Hg should be used only when an ET tube or tracheostomy is used to ventilate the patient. Use of a supraglottic (eg, King) airway results in a falsely elevated PETCO, value.