Use of an implantable left ventricular assist device for irreversible ventricular fibrillation secondary to massive myocardial infarction--a case study.

Mechanical circulatory support devices are currently being developed. The indications for their use are presently following acute myocardial infarction; in post cardiac-surgical cardiogenic shock; and as a mechanical 'bridge' to cardiac transplantation. Devices are being developed for permanent implantation in patients with end-stage left ventricular failure who are unacceptable for or denied transplantation. Intensive care nurses are required to care for patients who receive such mechanical support. These patients need intensive physical care with extensive nursing intervention and psychological support. The following case study describes the care of a patient who received an implantable left ventricular assist device (LVAD). The study illustrates the nursing care required in the management of such patients.