{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:20:29Z","timestamp":1789395629796,"version":"build-2803163510"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Klinikum der Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Klin Intensivmed Notfmed"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Linksventrikul\u00e4re Unterst\u00fctzungssysteme (LVAD) sind eine etablierte Therapie der fortgeschrittenen Herzinsuffizienz. Durch kontinuierlichen Fluss sind tastbarer Puls, nichtinvasive Blutdruckmessung und Pulsoxymetrie in der Akutversorgung h\u00e4ufig unzuverl\u00e4ssig.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Fallbasierte Analyse der Akutversorgung bei Linksherzunterst\u00fctzungssystemen in Rettungsdienst und Notaufnahme am Beispiel einer Patientin mit HeartMate 3\u00ae (Abbott Park, North Chicago, Illinois, Vereinigte Staaten) und Ableitung praxisnaher Handlungsschritte.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Grundlage war die anonymisierte pr\u00e4klinische und klinische Falldokumentation einer 67-j\u00e4hrigen Patientin. Ausgewertet wurden Monitoring, klinische Beurteilung, Ger\u00e4te- und Stromcheck, Pumpenparameter, Diagnostik und Triage. Die Einordnung erfolgte anhand von Konsensusdokumenten, \u00dcbersichten, Registerdaten und Herstellerunterlagen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Es zeigten sich drei Problemfelder: fehlende Verwertbarkeit des Standardmonitorings, initiale Fehleinordnung als technische St\u00f6rung und notwendige kontextbezogene Interpretation der Pumpenparameter. Pr\u00e4klinisch bestanden Dyspnoe, Zyanose, Vigilanzminderung sowie nicht messbare Blutdruck- und Sauerstoffs\u00e4ttigungswerte. Die sp\u00e4tere Ger\u00e4teabfrage zeigte stabile Parameter ohne akute Pumpenfehlfunktion. Urs\u00e4chlich war eine schwere\n                      <jats:italic>Staphylococcus-aureus<\/jats:italic>\n                      -Bakteri\u00e4mie mit dialysepflichtigem Nierenversagen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Klinische Verschlechterungen bei LVAD-Patienten sind nicht zwangsl\u00e4ufig pumpenbedingt. Entscheidend sind Beurteilung der Perfusion, Ger\u00e4te- und Stromversorgungscheck, Interpretation der Pumpenparameter, erweiterte Diagnostik und fr\u00fche R\u00fccksprache mit einem LVAD-Zentrum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-026-01490-x","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:40:13Z","timestamp":1789393213000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Linksherzunterst\u00fctzungssysteme in der Notfallmedizin","Left ventricular assist devices in emergency medicine"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7246-3357","authenticated-orcid":false,"given":"Mark-Alexander","family":"Solf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Tomasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.-E.","family":"Kamla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kreuzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Feuerecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Scheiermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.-J.","family":"H\u00f6chter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Schumann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"1490_CR1","volume-title":"HeartMate 3 Left Ventricular Assist System: Instructions for Use; Patient Guide","author":"Abbott","year":"2023","unstructured":"Abbott (2023) HeartMate 3 Left Ventricular Assist System: Instructions for Use; Patient Guide. Abbott, Abbott Park, IL"},{"key":"1490_CR2","unstructured":"Abbott (2024) VAD-Patienten: Ein systematischer Ansatz zur Unterst\u00fctzung der Fehlerbehebung bei einem HeartMate 3\u2122 LVAD. (MAT-2003618 v2.0. Abbott, Deutschland\/\u00d6sterreich\/Schweiz)"},{"key":"1490_CR3","doi-asserted-by":"publisher","first-page":"2349","DOI":"10.1002\/ehf2.13333","volume":"8","author":"A Agrawal","year":"2021","unstructured":"Agrawal A, Alexy T, Kamioka N et al (2021) Outflow graft obstruction after left ventricular assist device implantation: a retrospective, single-centre case series. ESC Heart Fail 8:2349\u20132353","journal-title":"ESC Heart Fail"},{"key":"1490_CR4","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/s00134-024-07382-y","volume":"50","author":"W Akhtar","year":"2024","unstructured":"Akhtar W, Rial Baston V, Berman M et al (2024) British societies guideline on the management of emergencies in implantable left ventricular assist device recipients in transplant centres. Intensive Care Med 50:493\u2013501","journal-title":"Intensive Care Med"},{"key":"1490_CR5","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1016\/j.cardfail.2021.11.016","volume":"28","author":"MN Belkin","year":"2022","unstructured":"Belkin MN, Kagan V, Labuhn C et al (2022) Physiology and Clinical Utility of HeartMate Pump Parameters. J Card Fail 28:845\u2013862","journal-title":"J Card Fail"},{"key":"1490_CR6","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-024-01193-2","volume":"32","author":"ED Butterfield","year":"2024","unstructured":"Butterfield ED, Price J, Bonsano M et al (2024) Prehospital invasive arterial blood pressure monitoring in critically ill patients attended by a helicopter emergency medical service: a retrospective observational review. Scand J Trauma Resusc Emerg Med 32:20","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"10","key":"1490_CR7","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s11906-017-0782-6","volume":"19","author":"F Castagna","year":"2017","unstructured":"Castagna F, St\u00f6hr EJ, Pinsino A et al (2017) The unique blood pressures and pulsatility of LVAD patients: Current challenges and future opportunities. Curr Hypertens Rep 19(10):85","journal-title":"Curr Hypertens Rep"},{"key":"1490_CR8","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1016\/j.echo.2024.06.005","volume":"37","author":"JD Estep","year":"2024","unstructured":"Estep JD, Nicoara A, Cavalcante J et al (2024) Recommendations for Multimodality Imaging of Patients With Left Ventricular Assist Devices and Temporary Mechanical Support: Updated Recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr 37:820\u2013871","journal-title":"J Am Soc Echocardiogr"},{"key":"1490_CR9","doi-asserted-by":"publisher","first-page":"677","DOI":"10.1016\/j.healun.2019.05.004","volume":"38","author":"MM Givertz","year":"2019","unstructured":"Givertz MM, DeFilippis EM, Colvin M et al (2019) HFSA\/SAEM\/ISHLT clinical expert consensus document on the emergency management of patients with ventricular assist devices. 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Am J Emerg Med 46:1\u20139","journal-title":"Am J Emerg Med"}],"container-title":["Medizinische Klinik - Intensivmedizin und Notfallmedizin"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00063-026-01490-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00063-026-01490-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00063-026-01490-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:40:16Z","timestamp":1789393216000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00063-026-01490-x"}},"subtitle":["Fallbasierte Analyse f\u00fcr Rettungsdienst und Notaufnahme","Case-based analysis for emergency medical services and emergency departments"],"short-title":[],"issued":{"date-parts":[[2026,9,14]]},"references-count":15,"alternative-id":["1490"],"URL":"https:\/\/doi.org\/10.1007\/s00063-026-01490-x","relation":{},"ISSN":["2193-6218","2193-6226"],"issn-type":[{"value":"2193-6218","type":"print"},{"value":"2193-6226","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,14]]},"assertion":[{"value":"30 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 July 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 September 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"M.-A. Solf, R. Tomasi, C.-E. Kamla, J. Kreuzer, M. Feuerecker, P. Scheiermann, D.-J. H\u00f6chter, T. Schumann und C. M\u00fcller geben an, dass kein Interessenkonflikt besteht. Es bestehen keine finanziellen Beziehungen zu Abbott oder anderen Herstellern von Herzunterst\u00fctzungssystemen. Die Nennung von HeartMate 3\u00ae und der technischen Hotline erfolgt ausschlie\u00dflich aus Gr\u00fcnden der Versorgungssicherheit und stellt keine Produktempfehlung dar.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"Die Falldarstellung und Dokumentenauswertung erfolgten retrospektiv und anonymisiert; das Einverst\u00e4ndnis der Patientin wurde eingeholt. Es wurden keine experimentellen Untersuchungen an Menschen oder Tieren durchgef\u00fchrt.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}