The Fountain of Youth Will Not Last Forever: End of Life in Patients Receiving Mechanical Circulatory Support

AACN Adv Crit Care. 2021 Dec 15;32(4):452-460. doi: 10.4037/aacnacc2021501.

Abstract

Health care providers face a unique set of decision-making, assessment, and equipment challenges at the end of life of patients supported with a left ventricular assist device. The aim for this article is to assist the multidisciplinary team in caring for patients with a left ventricular assist device in all phases of end-of-life care. This review includes common causes of death for patients with a left ventricular assist device, assessment at end of life, physiological and palliative care considerations, withdrawal of left ventricular assist device support, and equipment considerations.

Keywords: LVAD; end of life; hospice; palliative care; ventricular assist device.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Death
  • Heart Failure* / therapy
  • Heart-Assist Devices*
  • Humans
  • Palliative Care
  • Terminal Care*