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Follow these three steps to assess your patient’s readiness.\r\n",{"id":215,"name":216},1,"Course previews",[218,230,235,242],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"caption":222,"video":223},258.1333333333333," 3 steps to assess a patient’s readiness to wean or remove Impella® support",{"platform":224,"name":225,"url":226,"size":227},"YouTube","3 steps to assess patients’ readiness to wean or remove Impella support","https:\u002F\u002Fyoutu.be\u002F0z0JPYDlQL0",{"width":228,"height":229},200,113,{"type":231,"data":232},"free_text",{"readDurationInSeconds":233,"text":234},41.06666666666666,"\u003Cp dir=\"ltr\">\u003Cspan>Weaning or removing temporary mechanical circulatory support doesn’t have to be daunting. These three steps will help you make the best decision for your patient:\u003C\u002Fspan>\u003C\u002Fp>\u003Col>\u003Cli dir=\"ltr\">\u003Cspan>Assess readiness to wean: Make sure the patient's hemodynamic status has improved, the doses of vasoactive medications required are declining, and the end-organ function is stable (e.g., kidneys, liver, and brain). Also, consider the indication for the original placement of the Impella® device as this will impact the timeline for weaning.\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\">\u003Cp>\u003Cspan>Weaning trial: tailor the weaning trial to the patient's specific needs. Maintain a cardiac index above 2.2 L \u002F min \u002F M\u003Csup>2\u003C\u002Fsup> despite decreasing mechanical support to keep the patient out of cardiogenic shock. 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