Treatment of cardiogenic shock with percutanous mechanical circulatory support.
Abstract Despite rapid revascularisation with circulatory support using inotropes and intra-aortic balloon counterpulsation, the mortality of cardiogenic shock complicating acute myocardial infarction still exceeds 50%. An alternative treatment strategy is restoration of cardiac output by using a ventricular assist device which can be inserted in the acute setting using the Impella device, a catheter-based flow pump. DanShock is a Danish multicentre study that will assess whether circulatory support using the Impella device will improve the outcome of cardiogenic shock compared to conventional management.
The architecture design,functionality design,and implementation effect of the surgical qualification authorization closed-loop management platform based on ICD-9-CM-3 were described. The platform took PDCA cycle as management mode,and connected the four processes of surgery classification,qualification authorization,quality monitoring,and capability assessment. The platform achieved closed-loop management of surgical qualification authorization,regulated medical practice,strengthened the awareness of surgical risk,and effectively improved surgical safety.