Author: Anila B. Elliott, MD - C.S. Mott Children’s Hospital - University of Michigan

A 5-year-old male with a history of familial cardiomyopathy underwent Berlin Heart EXCOR left ventricular assist device (LVAD) placement. By post-operative day 3, he has been extubated to BIPAP, sedation is weaning, and he is diuresing on a furosemide infusion. Direct inspection of the pump intermittently demonstrates incomplete ejection despite complete filling. Which of the following is the NEXT BEST STEP in management?