C. Mechanical Support

Unit Objective:

At the end of this unit, the resident understands the indications for mechanical cardiac support and ECMO, patient selection, device selection, recognition and treatment of the complications of mechanical support, methods for weaning the patient from support, and “bridging” to transplantation.

Learner Objectives:

Upon completion of the unit the resident:

1. Understands the indications for cardiac support with mechanical devices or ECMO;
   
   
2. Understands alternatives to mechanical support (e.g., intra-aortic and intra-pulmonary balloon pumping);
   
   
3. Knows the techniques for inserting these ventricular support devices;
   
   
4. Recognizes complications of the devices;
   
   
5. Understands the principles of weaning patients from these devices;
   
   
6. Understands the use of mechanical devices as a “bridge” to transplantation;

7. Knows the requirements for anticoagulation and monitoring of blood trauma;
   
   
8. Understands Federal regulations that apply to the use of these devices.