Flow (such as the kidneys and liver). Vad therapy can have side effects, including infection, major bleeding, or stroke. However, a vad can offer hope of recovery or survival for patients who need emergency assistance with the functioning of their hearts. viagra online without prescription Description blood tests, radiographs of the chest, and assessment of heart function are done in the hospital before the procedure. The doctor explains the procedure to the patient and obtains consent. This consent is required before the procedure can be performed. can you buy viagra from tesco The patient is taken to the operating room. The patient is placed under general anesthesia and remains unconscious for the entire operation. For surgical procedures (steps 5 to 9), incisions (cuts) are made through the patient’s chest, breastbone, and abdomen to allow the surgeons access to the heart and the space immediately beneath the heart. The heart’s blood vessels are connected to a heart-lung machine (also called a heart-lung bypass machine), which pumps the blood through the patients’ body during the surgery. Once the heart-lung machine is pumping blood, the patient’s heart is stopped. viagra or viagra uk The vad is positioned in the upper part of the patient’s abdomen and sewn in place. A tube is connected from the end of the ventricle to the pump. viagra 20mg women A second tube runs from the pump to the aorta (for a left ventricular assist device) or to the pulmonary artery (for a right ventricular assist device). buy cheap viagra For a bi-ventricular assist device, tubes are run from the pump to both the aorta and pulmonary artery. buy viagra online without script For percutaneous procedures, the device is inserted through the femoral artery in the leg. The pump is connected to a power source, which is placed outside the body. The pump is started and the heart is restarted. All incisions are closed, and the patient is awakened. The patient stays in the cardiac surgery intensive care unit (csicu) for several days following the surgical procedure. where to get viagra samples for free For percutaneous procedures, the patient must remain in the csicu until a decision is made for either removing the device or until a longer-term device is inserted. order viagra online The patient is moved to a regular hospital room once the patient no longer requires intensive care. The average hospital stay is 14 to 30 days. buy generic viagra Patient instructions patients should bring all medications (including non-prescription drugs and supplements) with them to the hospital. buy viagra online usa Patients should not eat or drink after midnight before surgery. Click to see how you can help visit us media centre contact us careers qu.