09 Feb 2026
1h 45m

69. Mechanical Circulatory Support Master Class with Dr. Bindu Akkanti

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Critical Care Time

This podcast episode revisits cardiogenic shock and mechanical circulatory support (MCS), featuring Dr. Bindu Akkanti, an expert in cardiopulmonary critical care. The discussion covers the spectrum of MCS devices, from IABP to ECMO, emphasizing the importance of understanding waveforms and patient-specific factors for optimal device selection and management. Dr. Akkanti stresses the need for a team-based approach, early recognition of shock, and continuous assessment of end-organ perfusion. The hosts and guest explore the nuances of univentricular versus biventricular support, the role of pulmonary artery catheters, and strategies for escalating or de-escalating MCS based on patient response. Real-world cases illustrate the complexities of managing cardiogenic shock in various clinical scenarios, highlighting the importance of lifelong learning and collaboration among specialists.

Outlines

Part 1: Philosophy and the Cardiopulmonary Role

Part 2: Intra-Aortic Balloon Pumps (IABP)

Part 3: Hemodynamic Assessment and Impella

Part 4: Managing Microaxial Flow Pumps

Part 5: ECMO and Advanced Support Strategies

Part 6: Competency and Resources

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