Professional
Technical
IVT
ventricular assist device weaning
Systematic process of gradually reducing mechanical circulatory support to assess native heart function recovery.
Full Definition
The carefully monitored process of progressively decreasing support from a ventricular assist device to evaluate the recovery of native cardiac function. This process involves stepwise reduction of device flow rates while continuously monitoring hemodynamics, cardiac output, and end-organ function. Anesthesiologists play a crucial role in managing the complex hemodynamic changes and potential complications during this critical period.
Usage
Usage note: Often abbreviated as 'VAD weaning' in clinical notes.
In Context
- "The patient tolerated ventricular assist device weaning well with stable hemodynamics at 50% flow." — ICU progress note
- "Ventricular assist device weaning was attempted but had to be aborted due to declining cardiac output." — Anesthesia record
Also known as
VAD weaning
mechanical support reduction
Contrasted with
VAD implantation
support escalation
Don't confuse with
VAD explanation
device malfunction