Impella Recover 100: successful perioperative support for off pump coronary artery bypass grafting surgery in a patient with end-stage ischemic cardiomyopathy.
The authors present the successful use of the Impella recover 100 intracardiac left ventricular assist device in a 55-year old man suffering from end-stage ischemic cardiomyopathy. The pump was implanted preoff pump coronary artery bypass grafting (OPCAB) and it was successfully weaned 5 days postoperatively. In addition, an intra-aortic balloon pump (IABP) was implanted to convert the non-pulsatile flow of the Impella into a pulsatile flow. In this paper benefits and risks of this technique are shown.
The main objective of this research is to investigate the adaptive efficiency of women who experienced induced and spontaneous abortion and attended a Human Reproduction Ambulatory. The instrument used in this study is the clinical preventive interview - EDAO. Ten (10) women who were currently attending the Assisted Human Reproduction Ambulatory participated in the study. The results showed that the abortion has important repercussion in both internal and external world of the participating women. Both induced and spontaneous abortions were related to intense anguish, sadness and guilt. The experience with the pregnancy attempt treatment added to the prior miscarriage experience have intensified the suffering of these women. As for the adaptive efficacy, two patients were diagnosed with Mild Inefficient Adaptation operationalized with a good prognosis and four diagnosed with Moderate